Provider Demographics
NPI:1407190101
Name:JOSIAH, NAOMI BETH (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:BETH
Last Name:JOSIAH
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 NW OCEANVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-2437
Mailing Address - Country:US
Mailing Address - Phone:541-961-2446
Mailing Address - Fax:541-265-5899
Practice Address - Street 1:1244 NW OCEANVIEW DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-2437
Practice Address - Country:US
Practice Address - Phone:541-961-2446
Practice Address - Fax:541-265-5899
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional