Individual
MS. NANCY LYNN SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
421 SW OAK ST, PORTLAND, OR 97204-1817
(503) 988-2465
Mailing address
421 SW OAK ST, PORTLAND, OR 97204-1817
(503) 988-2465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1031
OR
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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