Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aqueelah F Bolden-McCoy, PSS

Individual provider Counselor · NPI 1639556962

Aqueelah F Bolden-McCoy, PSS is a Counselor in Gresham, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2015.

Licensed in
OR, WA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030
Phone: (971) 274-3757
Fax: (503) 912-5740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence THW000002697 (OR)
Counselor Taxonomy 101Y00000X · Licence CG60487815 (WA)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1639556962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSS
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESApril 13, 2018

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