Individual
BENJAMIN A LESSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
17979 STAFFORD RD, LAKE OSWEGO, OR 97034-7627
(503) 929-1348
Mailing address
1155 N LOCUST ST, CANBY, OR 97013-2931
(503) 929-1348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4815
OBLPCT LICENSE
OR
Enumeration date
02/10/2020
Last updated
02/10/2020
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