Individual provider · Type 1 NPI

Cleo Andersen-Green

Mental Health Counselor · Portland, OR

NPI number 1962027623 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1962027623

Cleo Andersen-Green's National Provider Identifier is 1962027623, issued on Jun 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2020.