Individual provider · Type 1 NPI

Danielle Dierking

Mental Health Counselor · Portland, OR

NPI number 1194122911 Active

Practice location

9830 NE Cascades Pkwy, Suite 200
Portland, OR 97220-6832

Call (503) 255-4205 Map

Mailing address

2606 SE Pine St
Portland, OR 97214-1783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194122911

Danielle Dierking's National Provider Identifier is 1194122911, issued on Nov 21, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 21, 2014.