Individual
LAURIE HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10564 SE WASHINGTON STRRET, PORTLAND, OR 97216
(503) 235-8655
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1587
OR
101YM0800X
Mental Health Counselor
C1587
OR
Other
Enumeration date
10/21/2014
Last updated
01/21/2015
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