Individual
MELISSA JO DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CEDS-C
Contact information
Practice address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(503) 862-3476
Mailing address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(503) 862-3476
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF61289971
WA
106H00000X
Marriage & Family Therapist
LMFT135687
CA
106H00000X
Marriage & Family Therapist
Primary
T1330
OR
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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