Individual provider · Type 1 NPI

Erica Ishmael

Professional Counselor · Roseburg, OR

NPI number 1992161814 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 492-0241 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice locations

  • 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 · (541) 883-1030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC5186 (OR)

Professional Counselor: Definition to come...

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About NPI 1992161814

Erica Ishmael's National Provider Identifier is 1992161814, issued on Jan 7, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roseburg, OR. The record was last updated on Mar 19, 2019.