Individual
MRS. NICOLE HAXBY MARCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7445 SW ASHDALE CT, PORTLAND, OR 97223-9323
(971) 322-5164
Mailing address
7445 SW ASHDALE CT, PORTLAND, OR 97223-9323
(971) 322-5164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2965
OR
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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