Individual provider · Type 1 NPI

Autumn Daggett

Mental Health Counselor · Portland, OR

NPI number 1508536962 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508536962

Autumn Daggett's National Provider Identifier is 1508536962, issued on Sep 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 10, 2024.