Individual provider · Type 1 NPI

Charley Amber Liljequist

Mental Health Counselor · Portland, OR

NPI number 1891284337 Active

Practice location

018 SW Boundary Ct
Portland, OR 97239-3939

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891284337

Charley Amber Liljequist's National Provider Identifier is 1891284337, issued on May 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 9, 2018.