Individual provider · Type 1 NPI

Lorelynn Mirage Cardo, PhD

Counselor · Portland, OR

NPI number 1609126952 Active

Practice location

1221 SE Madison St
Portland, OR 97214-3890

Call (503) 445-7767 Map

Mailing address

1818 NW 156th Ave
Beaverton, OR 97006-5665

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Health Educator 174H00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609126952

Lorelynn Mirage Cardo, PhD's National Provider Identifier is 1609126952, issued on Sep 13, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.