Individual
JULIE L MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
9450 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6619
(503) 216-2290
(503) 216-5529
Mailing address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3804
OR
101YM0800X
Mental Health Counselor
LH 60455799
WA
101YP2500X
Professional Counselor
Primary
C3804
OR
Other
Enumeration date
04/12/2010
Last updated
09/30/2024
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