Individual provider · Type 1 NPI

Maximilian M. McDaniel, MA, QMHP

Mental Health Counselor · Portland, OR

NPI number 1437438843 Active

Practice location

7717 SE 42nd Ave
Portland, OR 97206-8411

Call (503) 545-7572 Map

Mailing address

7717 SE 42nd Avenue
Portland, OR 97206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1437438843

Maximilian M. McDaniel, MA, QMHP's National Provider Identifier is 1437438843, issued on Aug 16, 2011. 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 16, 2011.