Individual
MS. GENEVIEVE NAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6800 SW 105TH AVE STE 101, BEAVERTON, OR 97008-5488
(971) 200-1966
(971) 754-4141
Mailing address
6800 SW 105TH AVE STE 101, BEAVERTON, OR 97008-5488
(971) 200-1966
(971) 754-4141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C6244
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6244
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500730618
—
OR
Enumeration date
07/17/2017
Last updated
10/11/2022
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