Individual provider · Type 1 NPI
Kwabena Siaka
Mental Health Counselor · Portland, OR
NPI number
1972983096
Active
Practice location
2028 SE Marion St, Suite 11
Portland, OR 97202-7365
Mailing address
2225 N Lombard St Ste 201
Portland, OR 97217-5772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21-02-30006 (OR) |
| Mental Health Counselor Primary | 101YM0800X | 18QMHPC00019 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1972983096
Kwabena Siaka's National Provider Identifier is 1972983096, issued on Jun 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2026.