Individual provider · Type 1 NPI

Chandra K. Wilson, QMHA

Mental Health Counselor · Portland, OR

NPI number 1326678871 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (503) 548-0346 Map

Fax (503) 232-5959

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326678871

Chandra K. Wilson, QMHA's National Provider Identifier is 1326678871, issued on Jan 23, 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 12, 2020.