Individual provider · Type 1 NPI

Emily Wilder, MA

Mental Health Counselor · Portland, OR

NPI number 1083258750 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Call (503) 230-9654 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

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 1083258750

Emily Wilder, MA's National Provider Identifier is 1083258750, issued on Nov 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2019.