Individual
JUSTINA ANNE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6400 SE LAKE RD, MILWAUKIE, OR 97222-2129
(541) 900-4285
Mailing address
10560 NW 321ST AVE, NORTH PLAINS, OR 97133-6197
(503) 268-7352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8896
OR
Other
Enumeration date
10/24/2020
Last updated
11/04/2024
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