Individual
AMELIA O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6536 NE MALLORY AVE, PORTLAND, OR 97211-2422
(607) 882-0755
Mailing address
6536 NE MALLORY AVE, PORTLAND, OR 97211-2422
(607) 882-0755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61101797
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C9737
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/04/2020
Last updated
05/08/2025
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