Individual provider · Type 1 NPI

Sheila Athena Keaton, M.S.W., CSWA, CADC 1

Mental Health Counselor · Portland, OR

NPI number 1457728578 Active

Practice location

847 NE 19th Ave
Portland, OR 97232

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18-07-15 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1457728578

Sheila Athena Keaton, M.S.W., CSWA, CADC 1's National Provider Identifier is 1457728578, issued on Aug 24, 2015. 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 10, 2018.