Individual
MS. DIANNE E. LEROY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
4225 NE TILLAMOOK ST, PORTLAND, OR 97213-1313
(503) 299-9140
(503) 236-2399
Mailing address
PO BOX 18173, PORTLAND, OR 97218-0173
(503) 299-0140
(503) 236-2399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CO748
OR
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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