Individual provider · Type 1 NPI

Shanako Devoll, CADC I, QMHA

Mental Health Counselor · Portland, OR

NPI number 1316254022 Active

Practice location

2450 SE Belmont St
Portland, OR 97214-2821

Call (503) 887-6255 Map

Fax (503) 212-0969

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X05-03-01 (OR)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XL7423 (OR)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1316254022

Shanako Devoll, CADC I, QMHA's National Provider Identifier is 1316254022, issued on Sep 2, 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 Apr 27, 2023.