Individual provider · Type 1 NPI

Destiny Marie Bankhead, MS, LPSC

Mental Health Counselor · Portland, OR

NPI number 1114273471 Active

Practice location

10011 SE Division St, Suite # 305
Portland, OR 97266-1351

Call (503) 335-5975 Map

Fax (503) 335-5974

Mailing address

3500 SE Oak Grove Blvd Apt 27
Milwaukie, OR 97267-1474

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114273471

Destiny Marie Bankhead, MS, LPSC's National Provider Identifier is 1114273471, issued on Jul 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 24, 2012.