Individual provider · Type 1 NPI

Gwenyth Arwen Nichols, MA

Mental Health Counselor · Portland, OR

NPI number 1710030499 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Call (503) 813-7743 Map

Fax (503) 813-7795

Mailing address

1991 SE Bob White St
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710030499

Gwenyth Arwen Nichols, MA's National Provider Identifier is 1710030499, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.