# MS. LARA BISSONNETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841820941
- **Gender:** F
- **Credential:** MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | R4522 | OR | — |
| 101YM0800X | Mental Health Counselor | T1926 | NULL | — |
| 106H00000X | Marriage & Family Therapist | R4522 | OR | — |
| 106H00000X | Marriage & Family Therapist | T1926 | OR | Yes |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 09/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | R4522 | OREGON BOARD OFLICENSED PROFESSIONAL CONSELORS | OR |