Individual provider · Type 1 NPI

Stacey Martin

Mental Health Counselor · Portland, OR

NPI number 1982186946 Active

Practice location

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982186946

Stacey Martin's National Provider Identifier is 1982186946, issued on Sep 5, 2018. 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 23, 2020.