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Individual

ELIZABETH ANN LEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CADC III

Contact information

Practice address
847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
(503) 963-7765
(503) 963-7711
Mailing address
5914 NE CLEVELAND AVE, PORTLAND, OR 97211-2510
(503) 490-9894

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
C2288
OR

Other

Enumeration date
07/27/2006
Last updated
07/17/2012
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