Individual provider · Type 1 NPI

Averie Glass, R-DMT, LPC

Mental Health Counselor · Portland, OR

NPI number 1912595646 Active

Practice location

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058

Other practice locations

  • 1500 NE Irving St Ste 210, Portland, OR 97232-2243 · (425) 477-4215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC6917 (OR)

Mental Health Counselor: Definition to come...

80 other providers at this address

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About NPI 1912595646

Averie Glass, R-DMT, LPC's National Provider Identifier is 1912595646, issued on Jan 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2025.