Individual provider · Type 1 NPI

Stacia Lynnae Nilson, LPC

Mental Health Counselor · Portland, OR

NPI number 1578738167 Active

Practice location

2525 NW Lovejoy St, Suite 211
Portland, OR 97210-2859

Mailing address

6107 SW Murray Blvd, #296
Beaverton, OR 97008-4421

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578738167

Stacia Lynnae Nilson, LPC's National Provider Identifier is 1578738167, issued on Apr 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 23, 2013.