Individual
MISTY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
1935 NW 25TH AVE, PORTLAND, OR 97210-2547
(202) 725-1331
(503) 433-3890
Mailing address
1935 NW 25TH AVE, PORTLAND, OR 97210-2547
(202) 725-1331
(503) 433-3890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1743
CA
101YP2500X
Professional Counselor
Primary
C3818
OR
101YP2500X
Professional Counselor
LPC005797
GA
101YP2500X
Professional Counselor
PRC14113
DC
Other
Enumeration date
03/08/2010
Last updated
09/12/2025
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