Individual
MS. DONLEEN M HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CGACII
Contact information
Practice address
847 NE 19TH AVE, SUITE 100, PORTLAND, OR 97232-2684
(503) 963-2577
(503) 239-5953
Mailing address
7532 SW BARNES RD, #D, PORTLAND, OR 97225-6235
(503) 313-5372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CGAC II
OR
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
CGACII
OR
Enumeration date
02/01/2007
Last updated
04/25/2008
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