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Individual

ERIN HEADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1020 SW TAYLOR ST STE 345, PORTLAND, OR 97205-2508
(503) 568-1623
Mailing address
1020 SW TAYLOR ST STE 345, PORTLAND, OR 97205-2508
(503) 568-1623

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3252
OR

Other

Enumeration date
03/05/2014
Last updated
06/15/2015
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