Individual provider · Type 1 NPI

Christiana Malini Tuck

Mental Health Counselor · Portland, OR

NPI number 1124687801 Active

Practice location

3615 NE Grand Ave
Portland, OR 97212-2104

Mailing address

16308 NE San Rafael Dr
Portland, OR 97230-5659

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124687801

Christiana Malini Tuck's National Provider Identifier is 1124687801, issued on Jun 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 6, 2019.