Mariah Meyer Lefeber, MA LPC BC-DMT DTRL
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1760659270
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1760659270
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mariah Meyer Lefeber
- Credential
- MA LPC BC-DMT DTRL
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2008
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 12-037 | WI | Yes |
| 101YP2500X | Counselor, Professional | 4382-125 | WI |
Practice location
8435 Ne Glisan StPortland, OR 97220-5814
Phone 503-251-6714
Mailing address
8435 Ne Glisan StPortland, OR 97220-5814
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