Individual
LISA HELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. QMHP CADCI
Contact information
Practice address
422 N MAIN, CONDON, OR 97823-7651
(541) 384-2666
(541) 384-3121
Mailing address
PO BOX 705, CONDON, OR 97823-0705
(541) 384-2666
(541) 384-3121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-03-15
ACCBO
OR
Enumeration date
06/25/2012
Last updated
06/25/2012
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