Organization
DAISY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COLE FAIRBANKS LCSW (THERAPIST)
(503) 908-3318
Entity
Organization
Contact information
Practice address
11345 SE LEXINGTON ST, PORTLAND, OR 97266-5927
(503) 908-3318
Mailing address
12042 SE SUNNYSIDE RD # 403, CLACKAMAS, OR 97015-8382
(503) 908-3318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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