Individual provider · Type 1 NPI

Marina Leela Vignos, MS

Mental Health Counselor · Portland, OR

NPI number 1760740104 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XUNLICENSED
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760740104

Marina Leela Vignos, MS's National Provider Identifier is 1760740104, issued on Apr 23, 2012. 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 22, 2016.