Individual
MS. LAURA LEE GONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2037 NW LOVEJOY ST, PORTLAND, OR 97209-1515
(503) 704-3064
Mailing address
1736 N WILLAMETTE BLVD, PORTLAND, OR 97217-4415
(503) 704-3064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2426
OR
106H00000X
Marriage & Family Therapist
L2426
OR
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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