Individual provider · Type 1 NPI

Wendy Carol Mailho.sheilds, MS, AT, CADC3

Mental Health Counselor · Portland, OR

NPI number 1063642759 Active

Practice location

1818 SE Division St
Portland, OR 97202-1159

Fax (503) 258-4682

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063642759

Wendy Carol Mailho.sheilds, MS, AT, CADC3's National Provider Identifier is 1063642759, issued on Jul 16, 2009. 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 15, 2009.