Individual
MRS. DANIELLE NICOLE LINGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
12511 SW 68TH AVE STE 100, PORTLAND, OR 97223-8298
(503) 720-3276
Mailing address
12511 SW 68TH AVE STE 100, PORTLAND, OR 97223-8298
(541) 390-8045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7220
OR
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/31/2007
Last updated
02/16/2023
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