Individual provider · Type 1 NPI
Andree Louise Cannon-Fleming, LPC
Mental Health Counselor · Portland, OR
NPI number
1629795307
Active
Practice location
2427 NE 16th Ave
Portland, OR 97212-4229
Mailing address
4200 NE 28th Ave
Portland, OR 97211-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C3718 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1629795307
Andree Louise Cannon-Fleming, LPC's National Provider Identifier is 1629795307, issued on Oct 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 24, 2022.