Individual provider · Type 1 NPI

Melissa Sue Nuckles

Mental Health Counselor · Portland, OR

NPI number 1336869403 Active

Practice location

17720 NE Halsey St
Portland, OR 97230-6776

Call (503) 654-7654 Map

Fax (503) 654-7333

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336869403

Melissa Sue Nuckles's National Provider Identifier is 1336869403, issued on Aug 30, 2022. 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, 2023.