Individual
DR. LAURA CELEDRA GILDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1962 NW KEARNEY ST, PORTLAND, OR 97209-1400
(971) 258-7252
Mailing address
1962 NW KEARNEY ST, PORTLAND, OR 97209-1400
(971) 258-7252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC#C2738
OR
106H00000X
Marriage & Family Therapist
MFT33178
CA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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