Individual provider · Type 1 NPI

Corrisa Malat

Counselor · Portland, OR

NPI number 1790457612 Active

Practice location

1715 SE 32nd Pl
Portland, OR 97214-5016

Call (503) 234-9591 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790457612

Corrisa Malat's National Provider Identifier is 1790457612, issued on Sep 29, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2023.