Individual
MRS. ELISABETH DUCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
333 NE RUSSELL ST STE 200, PORTLAND, OR 97212-3762
(503) 683-1702
Mailing address
333 NE RUSSELL ST STE 200, PORTLAND, OR 97212-3762
(503) 807-1113
(833) 450-3632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/13/2009
Last updated
12/11/2020
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