Individual provider · Type 1 NPI

Abbie Sisouphanh, MS, CRC

Mental Health Counselor · Portland, OR

NPI number 1760228787 Active

Practice location

4531 SE Belmont St
Portland, OR 97215-1699

Mailing address

4531 SE Belmont St Ste 315
Portland, OR 97215-1675

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9891 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1760228787

Abbie Sisouphanh, MS, CRC's National Provider Identifier is 1760228787, issued on Jul 9, 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 Sep 18, 2024.