Individual
MS. NICOLE CORBIN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP,LPC,CADC
Contact information
Practice address
2415 SE 43RD AVE, SUITE 200, PORTLAND, OR 97206-1600
(503) 872-0151
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 957-4936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-11-23
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C1230
OR
Other
Enumeration date
07/26/2006
Last updated
04/17/2008
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