Organization
ADHD CHILD & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA CANNON LPC (OWNER, PRACTIONER)
(971) 302-7374
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE 413, TIGARD, OR 97223-5427
(971) 302-7374
Mailing address
9370 SW GREENBURG RD STE 413, PORTLAND, OR 97223-5427
(971) 302-7374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/29/2019
Last updated
02/20/2023
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