Individual provider · Type 1 NPI
Stacey Ann Vallas, PhD, MS
Mental Health Counselor · Portland, OR
NPI number
1497384275
Active
Practice location
1306 NW Hoyt St Ste 404
Portland, OR 97209-2787
Mailing address
2856 NW Thurman St
Portland, OR 97210-2207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1497384275
Stacey Ann Vallas, PhD, MS's National Provider Identifier is 1497384275, issued on Apr 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 3, 2020.