Organization · Type 2 NPI

Noelle Braddock, Licensed Professional Clinical Counselor, A Professional Corporation

Mental Health Counselor · Portland, OR

NPI number 1306712062 Active

Practice location

2914 SE Yamhill St
Portland, OR 97214-4041

Call (415) 252-4834 Map

Mailing address

248 3rd St Unit 1214
Oakland, CA 94607-4375

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306712062

Noelle Braddock, Licensed Professional Clinical Counselor, A Professional Corporation's National Provider Identifier is 1306712062, issued on Oct 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 10, 2025.