Individual provider · Type 1 NPI

Danielle Sisco, QMHP

Mental Health Counselor · Portland, OR

NPI number 1225348386 Active

Practice location

2330 NE Siskiyou St
Portland, OR 97212-2471

Call (503) 528-0757 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Adult Companion 372600000XNone listed

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About NPI 1225348386

Danielle Sisco, QMHP's National Provider Identifier is 1225348386, issued on Oct 7, 2010. 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 26, 2013.