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Lavonne L King, QMHP-C
Mental Health Counselor in Gresham, Oregon
NPI 1003550179

Lavonne L King is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Lavonne L King practices in Gresham, OR and has the professional credentials of QMHP-C. The NPI Number for Lavonne L King is 1003550179 and holds a License No. 23-QMHPC-001334 (Oregon).

The current practice location address for Lavonne L King is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740.

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003550179
Provider Name
Lavonne L King
Credential
QMHP-C
Provider Entity Type
Individual
Gender
Female
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5008069107 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
23-QMHPC-001334 (Oregon)
Definition
Definition to come...
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