Individual provider · Type 1 NPI

Suzannah Stotts

Mental Health Counselor · Beaverton, OR

NPI number 1376826701 Active

Practice location

1500 NW Bethany Blvd Ste 320
Beaverton, OR 97006-5208

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376826701

Suzannah Stotts's National Provider Identifier is 1376826701, issued on Sep 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Sep 24, 2011.