Individual provider · Type 1 NPI

Elyssa Thelin

Mental Health Counselor · Portland, OR

NPI number 1609148642 Active

Practice location

4925 N Albina Ave
Portland, OR 97217-2609

Fax (503) 459-4495

Mailing address

14600 NW Cornell Rd
Portland, OR 97229

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609148642

Elyssa Thelin's National Provider Identifier is 1609148642, issued on Feb 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 7, 2012.