Individual provider · Type 1 NPI

Alicia Simone, M.S., MFT ASSOCIATE

Mental Health Counselor · Portland, OR

NPI number 1396407458 Active

Practice location

510 SW 3rd Ave Ste 200
Portland, OR 97204-2507

Mailing address

6312 SW Capitol Hwy # 245
Portland, OR 97239-1938

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR5094 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1396407458

Alicia Simone, M.S., MFT ASSOCIATE's National Provider Identifier is 1396407458, issued on Oct 6, 2021. 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 6, 2021.