Individual provider · Type 1 NPI

Lacey Shirahama

Counselor · Portland, OR

NPI number 1669724654 Active

Practice location

3415 SE Powell Blvd, Portland, Or 97202
Portland, OR 97202

Call (503) 234-9591 Map

Mailing address

12880 SE Ott Streeet
Clackams, OR 97015

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X7176209 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1669724654

Lacey Shirahama's National Provider Identifier is 1669724654, issued on Oct 15, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2012.