Individual
JESSICA LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4334
OR
Other
Enumeration date
10/09/2015
Last updated
12/30/2016
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