LACEY SHIRAHAMA - NPI 1669724654 - Counselor in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Lacey Shirahama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY SHIRAHAMA (NPI 1669724654) is an individual counselor in Portland, Oregon, licensed in Oregon (7176209) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1669724654

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLACEY SHIRAHAMA

Location Address3415 SE POWELL BLVD, PORTLAND, OR 97202Portland, OR 97202

Mailing Address12880 Se Ott StreeetClackams, OR 97015 · (503) 720-8352

Phone(503) 234-9591

Sole ProprietorNo

Enumeration DateOctober 15, 2012

✔ NPI 1669724654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OR · 7176209

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3415 SE POWELL BLVD, PORTLAND, OR 97202, Portland, OR 97202

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Frequently Asked Questions

What is Lacey Shirahama's NPI number?

The NPI number assigned to this healthcare provider is 1669724654, enumerated as an "individual" on October 15, 2012.

Where is the provider located?

The provider is located at 3415 SE POWELL BLVD, PORTLAND, OR 97202 PORTLAND, OR 97202 and the phone number is (503) 234-9591.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.