Individual provider · Type 1 NPI

Reece Malloy

Mental Health Counselor · Portland, OR

NPI number 1427764802 Active

Practice location

1942 NW Kearney St
Portland, OR 97209-1426

Mailing address

1603 SE 12th Ave
Portland, OR 97214-4712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1427764802

Reece Malloy's National Provider Identifier is 1427764802, issued on Jan 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 27, 2023.