Organization
QUEER EXPRESSIONS MENTAL HEALTH COLLECTIVE: INDIVIDUAL & FAMILY COUNSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE LYNCH LMFT (AGENT)
(510) 680-3545
Entity
Organization
Contact information
Practice address
1923 NE BROADWAY ST UNIT 5, PORTLAND, OR 97232-1501
(503) 908-9435
Mailing address
1923 NE BROADWAY ST UNIT 5, PORTLAND, OR 97232-1501
(503) 908-9435
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245590884
INDIVIDUAL
CA
01
—
1376956086
INDIVIDUAL
CA
Enumeration date
06/29/2022
Last updated
08/30/2024
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