Individual
REBECCA J. LENOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1863 SE ELLIOTT AVE, PORTLAND, OR 97214-4813
(617) 909-8959
Mailing address
1863 SE ELLIOTT AVE, PORTLAND, OR 97214-4813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6960
MA
101YP2500X
Professional Counselor
Primary
C2386
OR
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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