Individual
ELLIOT WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6377 NE EVERGREEN PKWY, HILLSBORO, OR 97124-6014
(503) 773-0151
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4226
OR
Other
Enumeration date
04/19/2017
Last updated
10/10/2024
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