Individual
LISA MARIE NEITZEL CARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(970) 214-6117
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(970) 214-6117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
09/18/2014
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