Individual provider · Type 1 NPI

Lisa Pace, MA

Mental Health Counselor · Portland, OR

NPI number 1700107596 Active

Practice location

5200 SW Macadam Ave, Suite 580
Portland, OR 97239-6103

Fax (503) 231-8153

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60151696 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1700107596

Lisa Pace, MA's National Provider Identifier is 1700107596, issued on Jun 16, 2010. 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 23, 2010.