Individual provider · Type 1 NPI

Nicole Prophet, MS, LPC

Counselor · Portland, OR

NPI number 1487108460 Active

Practice location

7227 SE Thorburn St
Portland, OR 97215-1434

Fax (971) 999-0908

Mailing address

7901 SE Powell Blvd, Ste B, #111
Portland, OR 97206-2331

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XC6307 (OR)

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 1487108460

Nicole Prophet, MS, LPC's National Provider Identifier is 1487108460, issued on Aug 8, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Nov 2, 2023.