Individual provider · Type 1 NPI

Nicole Stanasolovich

Mental Health Counselor · Portland, OR

NPI number 1023643566 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023643566

Nicole Stanasolovich's National Provider Identifier is 1023643566, issued on Mar 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 6, 2020.