Individual provider · Type 1 NPI
Glenn David Maia, M.A.
Mental Health Counselor · Portland, OR
NPI number
1114353521
Active
Practice location
707 NE Couch Street
Portland, OR 97232
Fax (503) 233-6093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1114353521
Glenn David Maia, M.A.'s National Provider Identifier is 1114353521, issued on Sep 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2013.