Individual provider · Type 1 NPI

Lilian Judith Aquino Gonzalez

Mental Health Counselor · Portland, OR

NPI number 1760394175 Active

Practice location

215 SE 102nd Ave
Portland, OR 97216-2700

Mailing address

121 NW Everett St
Portland, OR 97209-4049

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26-QMHA-R-8961 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1760394175

Lilian Judith Aquino Gonzalez's National Provider Identifier is 1760394175, issued on Sep 21, 2026. 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 21, 2026.