Individual provider · Type 1 NPI

Michelle Vestal

Mental Health Counselor · Milwaukie, OR

NPI number 1578086799 Active

Practice location

13850 SE Autumn Ridge Ter
Milwaukie, OR 97267-2150

Fax (503) 974-9586

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578086799

Michelle Vestal's National Provider Identifier is 1578086799, issued on Jul 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 19, 2017.