Individual provider · Type 1 NPI

Qudaneeda Stephenson

Mental Health Counselor · Tigard, OR

NPI number 1508428467 Active

Practice location

11740 SW 68th Pkwy Ste 200
Tigard, OR 97223-9058

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541

Other practice locations

  • 21600 Oxnard St, Woodland Hills, CA 91367-4976 · (779) 220-6262

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508428467

Qudaneeda Stephenson's National Provider Identifier is 1508428467, issued on Jul 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Feb 7, 2025.