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Mikayla Quackenbush, QMHA,COUNSELORII
Mental Health Counselor in Gresham, Oregon
NPI 1104599836

Mikayla Quackenbush is a Mental Health Counselor based in Gresham, OR and is specialized in Mental Health. Mikayla Quackenbush practices in Gresham, OR and has the professional credentials of QMHA,COUNSELORII. The NPI Number for Mikayla Quackenbush is 1104599836 and holds a License No. (Oregon).

The current practice location address for Mikayla Quackenbush is 1201 Ne 8Th St Apt 302, Gresham, OR and can be reached out via phone at 503-320-5182.

Location: 1201 Ne 8Th St Apt 302, Gresham, OR, 97030-5762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104599836
Provider Name
Mikayla Quackenbush
Credential
QMHA,COUNSELORII
Provider Entity Type
Individual
Gender
Female
Address
1201 Ne 8Th St Apt 302, Gresham, OR, 97030-5762
Phone Number
503-320-5182
Fax Number
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Ne 8Th St Apt 302
City
Gresham
State
Oregon
Zip
97030-5762
Phone Number
503-320-5182
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Ne 8Th St Apt 302
City
Gresham
State
Oregon
Zip
97030-5762
Phone Number
503-320-5182
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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