Individual provider · Type 1 NPI

Kayla Rose Gloria Daniels, MSW, MED

Mental Health Counselor · Portland, OR

NPI number 1912484726 Active

Practice location

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

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912484726

Kayla Rose Gloria Daniels, MSW, MED's National Provider Identifier is 1912484726, issued on Jul 24, 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 Dec 28, 2018.