Individual provider · Type 1 NPI
Mikayla Quackenbush, QMHA, COUNSELOR II
Mental Health Counselor · Gresham, OR
NPI number
1104599836
Active
Practice location
1201 NE 8th St Apt 302
Gresham, OR 97030-5762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104599836
Mikayla Quackenbush, QMHA, COUNSELOR II's National Provider Identifier is 1104599836, issued on Jul 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Jul 28, 2021.