Individual provider · Type 1 NPI

Corie Ferestad, MS, CADCII, LPC

Professional Counselor · Portland, OR

NPI number 1669818795 Active

Practice location

1507 NE 122nd Ave
Portland, OR 97230

Call (503) 258-4381 Map

Mailing address

11035 NE Sandy Blvd
Portland, OR 97220-2553

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15-10-23 (OR)
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
Professional Counselor Primary 101YP2500XC5304 (OR)

Professional Counselor: Definition to come...

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About NPI 1669818795

Corie Ferestad, MS, CADCII, LPC's National Provider Identifier is 1669818795, issued on May 15, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Aug 1, 2022.