Individual
LAURIE KERRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LMHC
Contact information
Practice address
7175 SW BEVELAND RD STE 205, PORTLAND, OR 97223-8665
(858) 449-1589
(720) 419-0228
Mailing address
205 KEN PRATT BLVD STE 120-40, LONGMONT, CO 80501-8993
(858) 449-1589
(720) 419-0228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5724
OR
101YP2500X
Professional Counselor
LH61314459
WA
101YP2500X
Professional Counselor
LPC.0017006
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500805498
—
OR
05
—
9000210170
—
CO
Enumeration date
05/16/2017
Last updated
08/30/2025
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