Individual provider · Type 1 NPI

Nadine Leavitt Siak

Counselor · Portland, OR

NPI number 1366614828 Active

Practice location

722 NE 162nd Ave, Albertina Kerr Centers
Portland, OR 97230

Call (503) 253-4205 Map

Mailing address

8042 SE Clay St
Portland, OR 97215

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1366614828

Nadine Leavitt Siak's National Provider Identifier is 1366614828, issued on Mar 25, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2008.