Individual
CHARLOTTE HEESACKER CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(971) 270-0167
Mailing address
233 SE WASHINGTON ST, HILLSBORO, OR 97123-4023
(971) 238-4408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7900
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/29/2022
Last updated
03/04/2024
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