Individual
MRS. LAUREN ALIECE GATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA
Contact information
Practice address
4724 SW MACADAM AVE, PORTLAND, OR 97239-9701
(503) 235-3122
Mailing address
6355 SW DALE AVE, BEAVERTON, OR 97008-4629
(503) 936-3611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C3609
OR
103K00000X
Behavior Analyst
Primary
1-15-18963
OR
Other
Enumeration date
06/18/2015
Last updated
07/10/2015
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