Individual provider · Type 1 NPI

Felicia Aimi Wallberg

Counselor · Tualatin, OR

NPI number 1689138638 Active

Practice location

19824 SW 72nd Ave Ste 102
Tualatin, OR 97062-8398

Mailing address

13823 NW Mill Creek Dr
Portland, OR 97229-5722

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR-5070 (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 1689138638

Felicia Aimi Wallberg's National Provider Identifier is 1689138638, issued on Jan 24, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tualatin, OR. The record was last updated on Jan 24, 2019.