Individual provider · Type 1 NPI

Meredith Marie Mirsepassi, LPC, CADCI

Mental Health Counselor · Wilsonville, OR

NPI number 1235653379 Active

Practice location

8855 SW Holly Ln Ste 105
Wilsonville, OR 97070-8792

Call (503) 544-7962 Map

Mailing address

4104 NE 105th Ave
Portland, OR 97220-3442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4140 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1235653379

Meredith Marie Mirsepassi, LPC, CADCI's National Provider Identifier is 1235653379, issued on Jul 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilsonville, OR. The record was last updated on Jul 31, 2017.