Individual provider · Type 1 NPI

Tyschal Lumbrea Blake

Counselor · Portland, OR

NPI number 1427779016 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

Call (503) 517-8663 Map

Other practice locations

  • 5847 NE 122nd Ave Ste 200, Portland, OR 97230-1079 · (971) 339-7040
  • 1200 Concord Ave Ste 100, Concord, CA 94520-4969 · (877) 200-5886

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1427779016

Tyschal Lumbrea Blake's National Provider Identifier is 1427779016, issued on Sep 12, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2023.