Individual provider · Type 1 NPI
Brian Michael Thatcher
Counselor · Portland, OR
NPI number
1073102869
Active
Practice location
Lifeworks Northwest, 5415 SW Westgate Drive
Portland, OR 97221
Mailing address
Lifeworks Northwest, 14600 NW Cornell Road
Portland, OR 97229-5442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Counselor Primary | 101Y00000X | T-21-612 (OR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1073102869
Brian Michael Thatcher's National Provider Identifier is 1073102869, issued on Jan 15, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2021.