Individual provider · Type 1 NPI

Madonna Wells

Mental Health Counselor · Portland, OR

NPI number 1023204047 Active

Practice location

320 SW Stark St
Portland, OR 97204-2644

Call (503) 238-0769 Map

Mailing address

PO Box 311
Beaverton, OR 97075-0311

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023204047

Madonna Wells's National Provider Identifier is 1023204047, issued on Sep 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 24, 2007.