Individual
AUZADEH HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC, MS, NCC
Contact information
Practice address
10175 NW 312TH PL, NORTH PLAINS, OR 97133-8246
(505) 681-4790
Mailing address
10175 NW 312TH PL, NORTH PLAINS, OR 97133-8246
(505) 681-4790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0177381
NM
101YM0800X
Mental Health Counselor
Primary
C3919
OR
101YM0800X
Mental Health Counselor
LPC.0012530
CO
Other
Enumeration date
10/01/2015
Last updated
11/30/2015
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