Individual provider · Type 1 NPI

Latoya Wynette Halliman, QMHA

Mental Health Counselor · Portland, OR

NPI number 1104989433 Active

Practice location

509 NE Alberta St
Portland, OR 97211-3976

Call (503) 249-7767 Map

Fax (503) 331-7595

Mailing address

12942 SE Mitchell St
Portland, OR 97236-4151

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104989433

Latoya Wynette Halliman, QMHA's National Provider Identifier is 1104989433, issued on Dec 18, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 21, 2016.