Individual provider · Type 1 NPI

Pennie F. Wilson, QMHP-C

Counselor · Portland, OR

NPI number 1467700211 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 645-3581 Map

Mailing address

10700 SW Beaverton Hillsdale Hwy Ste 11
Beaverton, OR 97005-3035

Specialties and licenses

TaxonomyCodeLicense
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 1467700211

Pennie F. Wilson, QMHP-C's National Provider Identifier is 1467700211, issued on Aug 28, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Apr 7, 2020.