Individual provider · Type 1 NPI

Ishah Nicoll Roads, LPC

Professional Counselor · Portland, OR

NPI number 1972860724 Active

Practice location

3024 NE 63rd Ave
Portland, OR 97213-4510

Mailing address

PO Box 5462
Scottsdale, AZ 85261-5462

Other practice locations

  • 6426 E Turquoise Ave, Paradise Valley, AZ 85253-1348 · (541) 270-6466

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC21233 (AZ)
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500XC4672 (OR)

Professional Counselor: Definition to come...

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About NPI 1972860724

Ishah Nicoll Roads, LPC's National Provider Identifier is 1972860724, issued on Apr 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Aug 23, 2022.