Individual provider · Type 1 NPI

Gia J. McKinzie, LCSW

Mental Health Counselor · Portland, OR

NPI number 1669904686 Active

Practice location

5200 S Macadam Ave Ste 580
Portland, OR 97239-3837

Fax (503) 231-8153

Mailing address

902 SE Spokane Avenue, Suite 324
Portland, OR 97202-3837

Other practice locations

  • 620 NE 2nd St, Gresham, OR 97030-7514 · (971) 274-3757

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XLSW.0009921186 (CO)
Social Worker 104100000XL10719 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1669904686

Gia J. McKinzie, LCSW's National Provider Identifier is 1669904686, issued on Mar 29, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 20, 2022.