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Individual

CHELL LYN OAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7704 N HEREFORD AVE, PORTLAND, OR 97203-3434
(440) 539-8455
Mailing address
1509 NE 24TH AVE APT 1, PORTLAND, OR 97232-1667

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6546
OR
101YM0800X
Mental Health Counselor
E.1901306
OH

Other

Enumeration date
08/19/2019
Last updated
11/04/2022
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