CORIE FERESTAD MS CADCII LPC NPI 1669818795

NPI Information

NPI: 1669818795
Provider Name: CORIE FERESTAD, MS, CADCII, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1507 NE 122ND AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 258-4381
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Corie Ferestad, MS, CADCII, LPC is a professional counselor in Portland, OR. Corie Ferestad, MS, CADCII, LPC NPI is 1669818795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1507 NE 122ND AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 258-4381

The enumeration date for this NPI number is 5/15/2013 and was last updated on 8/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15-10-23	OREGON	No
2	101YM0800X	Counselor	Mental Health			No
3	106H00000X	Marriage & Family Therapist				No
4	101YP2500X	Counselor	Professional	C5304	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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