Individual
LES UTRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
6635 N BALTIMORE AVE STE 275, PORTLAND, OR 97203-5458
(312) 468-7345
Mailing address
6635 N BALTIMORE AVE STE 275, PORTLAND, OR 97203-5458
(312) 468-7345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
05/21/2024
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