Individual
MS. LUCIANA CELIA DIODATI-DUBOULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-2273
(503) 494-7979
Mailing address
8365 NE THOMPSON ST, PORTLAND, OR 97220-5464
(813) 368-6441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L5993
OR
1041C0700X
Clinical Social Worker
Primary
L5993
OR
1041C0700X
Clinical Social Worker
SW9697
FL
Other
Enumeration date
03/15/2010
Last updated
10/23/2017
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