Individual
ANDREA LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2036 MAIN ST STE 201, FOREST GROVE, OR 97116-2374
(503) 946-6467
Mailing address
38338 SW BLOOMING FERN HILL RD, CORNELIUS, OR 97113-6002
(602) 820-4015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6004
OR
101YM0800X
Mental Health Counselor
LPC-18080
AZ
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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