Individual provider · Type 1 NPI

Johnny L. Talawyma Jr., BBH-LAC-LIC-64263

Mental Health Counselor · Portland, OR

NPI number 1225652001 Active

Practice location

17645 NW Saint Helens Rd
Portland, OR 97231-1729

Fax (503) 621-0200

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24-QMHP-R-3301 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1225652001

Johnny L. Talawyma Jr., BBH-LAC-LIC-64263's National Provider Identifier is 1225652001, issued on Jun 8, 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 Feb 1, 2025.