Individual
GENEVIEVE CLEVERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 NW HOYT ST STE 407, PORTLAND, OR 97209-2787
(971) 407-3930
Mailing address
1306 NW HOYT ST STE 407, PORTLAND, OR 97209-2787
(971) 497-3930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C11433
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C11433
OR
101YP2500X
Professional Counselor
Primary
R8505
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2022
Last updated
03/30/2026
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