# ALEXIS LESSARD-TEMPLIN, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487103636
- **Authorized official:** ALEXIS D LESSARD-TEMPLIN LCSW (OWNER, THERAPIST)
- **Authorized official phone:** (503) 457-5019

## Contact information

- **Practice address:** 2512 SE 25TH AVE, SUITE 202, PORTLAND, OR 97202
- **Practice address phone:** (503) 457-5019
- **Practice address fax:** (503) 606-8323
- **Mailing address:** 2512 SE 25TH AVE, SUITE 202, PORTLAND, OR 97202
- **Mailing address phone:** (503) 457-5019
- **Mailing address fax:** (503) 606-8323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L6609 | OR | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 02/22/2022