Individual
LAURIE JO LOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 872-0185
(503) 236-7166
Mailing address
1604 SE 56TH AVE, PORTLAND, OR 97215-3354
(503) 234-5694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
09/11/2025
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