Mikayla Quackenbush, QMHA, COUNSELOR II

NPI #1104599836 in Gresham, Oregon

Provider Information

NPI Number
1104599836
Entity Type
Individual
Name
Mikayla Quackenbush, QMHA, COUNSELOR II
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
QMHA, COUNSELOR II
Enumeration Date
Jul 28, 2021
Last Updated
Jul 28, 2021

Practice Location

Address
1201 NE 8TH ST APT 302
State
Oregon
ZIP Code
97030-5762
Phone
(503) 320-5182

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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