Individual
MISS NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12108 SE 158TH AVE, HAPPY VALLEY, OR 97086-5858
(503) 901-0152
Mailing address
12108 SE 158TH AVE, HAPPY VALLEY, OR 97086-5858
(503) 901-0152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1436
OR
Other
Enumeration date
12/03/2008
Last updated
09/27/2024
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