Individual provider · Type 1 NPI

Emily Van Der Laan, MA LPC INTERN

Mental Health Counselor · Portland, OR

NPI number 1982295937 Active

Practice location

3519 NE 15th Ave # 360
Portland, OR 97212-2356

Call (541) 357-6878 Map

Mailing address

14345 NE Knott St
Portland, OR 97230-3832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR6313 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1982295937

Emily Van Der Laan, MA LPC INTERN's National Provider Identifier is 1982295937, issued on Feb 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2021.