Individual
CHRISTINA LYNN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, NCC, LPC I
Contact information
Practice address
155 B AVE STE 220, LAKE OSWEGO, OR 97034-3180
(503) 470-3128
Mailing address
PO BOX 2121, BEAVERTON, OR 97075-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61661236
WA
101YM0800X
Mental Health Counselor
R4951
OR
Other
Enumeration date
10/13/2017
Last updated
05/15/2025
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