Individual provider · Type 1 NPI

Ajna Rae

Mental Health Counselor · Portland, OR

NPI number 1124633326 Active

Practice location

3550 N Interstate Ave
Portland, OR 97227-1196

Call (855) 632-8280 Map

Mailing address

4659 NE Ainsworth St
Portland, OR 97218-1849

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124633326

Ajna Rae's National Provider Identifier is 1124633326, issued on Sep 14, 2020. 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 14, 2020.