Individual provider · Type 1 NPI

Tyesha Maecole McCool-Riley, MASTERS DEGREE

Mental Health Counselor · Portland, OR

NPI number 1699135517 Active

Practice location

17214 SE Division St
Portland, OR 97236-1282

Call (503) 761-5272 Map

Fax (503) 762-6250

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1699135517

Tyesha Maecole McCool-Riley, MASTERS DEGREE's National Provider Identifier is 1699135517, issued on Mar 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 16, 2016.