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Individual

MR. MICHAEL TODD LICHTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., MCFT, QMHP

Contact information

Practice address
14839 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 372-5147
(503) 650-4302
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 372-5147
(503) 266-8632

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2049
OR
106H00000X
Marriage & Family Therapist

Other

Enumeration date
05/12/2011
Last updated
07/02/2025
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