Individual provider · Type 1 NPI

Juliann Adele Squires, LPC, LMT

Mental Health Counselor · Portland, OR

NPI number 1619340742 Active

Practice location

3615 NE Grand Ave
Portland, OR 97212-2104

Mailing address

2840 SE 31st Ave
Portland, OR 97202-1408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC11420 (OR)
Massage Therapist 225700000X14582 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1619340742

Juliann Adele Squires, LPC, LMT's National Provider Identifier is 1619340742, issued on Nov 11, 2015. 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 4, 2026.