Individual
MS. JOHANNA COURTLEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
14523 WESTLAKE DR, LAKE OSWEGO, OR 97035-7700
(503) 684-8481
Mailing address
3 MONROE PKWY # P-442, LAKE OSWEGO, OR 97035-1486
(503) 684-8481
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1612
OR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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