Individual
COURTNEY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC-INTERN
Contact information
Practice address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 972-9520
Mailing address
5404 NE 41ST AVE, PORTLAND, OR 97211-8045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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