Individual
ALEXIS DANIELLE LESSARD-TEMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4645 SE 67TH AVE STE 201, PORTLAND, OR 97206-4515
(503) 457-5019
Mailing address
4645 SE 67TH AVE STE 201, PORTLAND, OR 97206-4515
(503) 457-5019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6609
OR
1041C0700X
Clinical Social Worker
LCSW66520
CA
Other
Enumeration date
12/15/2012
Last updated
11/02/2023
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