Individual provider · Type 1 NPI

Isaiah Mile Cassidy

Counselor · Corvallis, OR

NPI number 1679035455 Active

Practice location

Children's Farm HOME-4455 NE Hwy 20
Corvallis, OR 97330

Call (503) 234-9591 Map

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1679035455

Isaiah Mile Cassidy's National Provider Identifier is 1679035455, issued on Apr 2, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Apr 2, 2019.