Individual provider · Type 1 NPI

Aqueelah F. Bolden-McCoy, PSS

Mental Health Counselor · Gresham, OR

NPI number 1639556962 Active

Practice location

620 NE 2nd St
Gresham, OR 97030

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG60487815 (WA)
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XTHW000002697 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1639556962

Aqueelah F. Bolden-McCoy, PSS's National Provider Identifier is 1639556962, issued on May 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Apr 13, 2018.