Individual provider · Type 1 NPI

Celeste Travis, QMHA-R

Mental Health Counselor · Portland, OR

NPI number 1700693124 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Fax (503) 232-5959

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24-QMHA-R-6216 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1700693124

Celeste Travis, QMHA-R's National Provider Identifier is 1700693124, issued on Dec 18, 2024. 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 18, 2024.