Individual provider · Type 1 NPI

Kori Desimone

Mental Health Counselor · Portland, OR

NPI number 1407574601 Active

Practice location

1135 SE Salmon St
Portland, OR 97214-3375

Other practice locations

  • 9656 SE Yukon St, Portland, OR 97266-4550 · (541) 704-8018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407574601

Kori Desimone's National Provider Identifier is 1407574601, issued on Aug 15, 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 Aug 21, 2024.