Individual provider · Type 1 NPI

Wyatt Fernelius, QMHA

Counselor · Portland, OR

NPI number 1982127874 Active

Practice location

2640 NW Alexandra Ave
Portland, OR 97210-1289

Call (503) 731-3978 Map

Fax (503) 239-1252

Mailing address

PO Box 10027
Portland, OR 97296-0027

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1982127874

Wyatt Fernelius, QMHA's National Provider Identifier is 1982127874, issued on Jul 21, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2017.