Individual provider · Type 1 NPI

Margo Cohn Pactanac, LCSW

Mental Health Counselor · Portland, OR

NPI number 1063794261 Active

Practice location

1815 SW Marlow Ave, Suite 218
Portland, OR 97225-5185

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL6324 (OR)
Counselor 101Y00000XL6324 (OR)
Mental Health Counselor Primary 101YM0800XL6324 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1063794261

Margo Cohn Pactanac, LCSW's National Provider Identifier is 1063794261, issued on Sep 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 7, 2016.