Individual
MISS CAMILLE ELISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4856 NE PRESCOTT ST, PORTLAND, OR 97218-1751
(662) 321-1448
Mailing address
4856 NE PRESCOTT ST, PORTLAND, OR 97218-1751
(662) 321-1448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14862
NC
101Y00000X
Counselor
2162
MS
101Y00000X
Counselor
8008
TN
101Y00000X
Counselor
C8053
OR
101Y00000X
Counselor
TPMC4949
FL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8053
OR
Other
Enumeration date
08/09/2013
Last updated
10/10/2025
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