Individual
MISS LAVONDA LEEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 N KILLINGSWORTH CT, PORTLAND, OR 97217-2335
(971) 997-3342
Mailing address
717 N KILLINGSWORTH CT, PORTLAND, OR 97217-2335
(971) 997-3342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
374J00000X
Doula
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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