Individual
ALLISON NICOLE LABROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN, MA
Contact information
Practice address
12725 SW 66TH AVE STE 103, TIGARD, OR 97223-2547
(503) 462-1763
Mailing address
10871 SW CANTERBURY LN STE 204, TIGARD, OR 97224-3857
(503) 910-4952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R5771
OR
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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