SECOND GROWTH COUNSELING SERVICES NPI 1871083691

NPI Information

NPI: 1871083691
Provider Name: SECOND GROWTH COUNSELING SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
422 SE 79TH AVE STE 202
PORTLAND, OR
ZIP 97215
Phone: (618) 339-7497
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SECOND GROWTH COUNSELING SERVICES is a professional counselor in Portland, OR. SECOND GROWTH COUNSELING SERVICES NPI is 1871083691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

422 SE 79TH AVE STE 202
PORTLAND, OR
ZIP 97215-519
Phone: (618) 339-7497

The provider's authorized official is Kelly Carlyn Grace .
The authorized official title is Owner and has the following contact phone number (618) 339-7497.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 5/6/2020.

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	106H00000X	Marriage & Family Therapist		R4154	OREGON	No
2	101YP2500X	Counselor	Professional	C3909	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: 11/14/2023

NPI Synchronization or Removal

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