Individual
MS. LISA HOBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, CADC I
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 624-2600
(503) 624-7752
Mailing address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 624-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-03-19
OR
101YP2500X
Professional Counselor
Primary
C1919
OR
106H00000X
Marriage & Family Therapist
T0549
OR
Other
Enumeration date
01/08/2007
Last updated
06/02/2010
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