person
Melody Ann Wickstrom
Mental Health Counselor in Portland, Oregon
NPI 1649734187

Melody Ann Wickstrom is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Melody Ann Wickstrom practices in Portland, OR. The NPI Number for Melody Ann Wickstrom is 1649734187 and holds a License No. (Oregon).

The current practice location address for Melody Ann Wickstrom is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-238-0769.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1649734187
Provider Name
Melody Ann Wickstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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