Individual provider · Type 1 NPI

Nicole Marie Judd, MA, MA, PSS

Mental Health Counselor · Portland, OR

NPI number 1598190290 Active

Practice location

2901 E Burnside St
Portland, OR 97214

Call (503) 238-5203 Map

Fax (503) 445-0120

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1598190290

Nicole Marie Judd, MA, MA, PSS's National Provider Identifier is 1598190290, issued on Sep 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2018.