Individual provider · Type 1 NPI

Leola Burkett

Mental Health Counselor · Portland, OR

NPI number 1649935941 Active

Practice location

12511 SE Raymond St
Portland, OR 97236-3931

Call (503) 761-2580 Map

Fax (503) 761-2584

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1649935941

Leola Burkett's National Provider Identifier is 1649935941, issued on Nov 2, 2021. 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 20, 2025.