Individual
LYSETTE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
(503) 612-1090
Mailing address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
(503) 612-1090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004125
NY
101YM0800X
Mental Health Counselor
LH60401264
WA
101YP2500X
Professional Counselor
Primary
C3246
OR
Other
Enumeration date
08/19/2007
Last updated
10/07/2019
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