Aisha Wallace
Aisha Wallace is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
521 SW 11th AvePortland, OR 97205-2634
Phone: (503) 224-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1467580266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
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Mrs. Juliana Elizabeth Wallace, MSWACSW, CADCIII
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