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Christina W. Enticknap, LPC
Professional Counselor in Portland, Oregon
NPI 1225183635

Christina W. Enticknap is a Professional Counselor based in Portland, OR and is specialized in Professional. Christina W. Enticknap practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Christina W. Enticknap is 1225183635 and holds a License No. C1966 (Oregon).

The current practice location address for Christina W. Enticknap is 2512 Se 25Th Ave Ste 202, Portland, OR and can be reached out via phone at 503-544-3201.

Location: 2512 Se 25Th Ave Ste 202, Portland, OR, 97202-2075
person
Provider Profile Details
NPI Number
1225183635
Provider Name
Christina W. Enticknap
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2512 Se 25Th Ave Ste 202, Portland, OR, 97202-2075
Phone Number
503-544-3201
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500676083 05 OR
C1966 01 OR OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AN
institution
Provider Business Practice Location Address Details
Address
2512 Se 25Th Ave Ste 202
City
State
Zip
97202-2075
Phone Number
503-544-3201
Fax Number
person
Provider Business Mailing Address Details
Address
2512 Se 25Th Ave Ste 202
City
State
Zip
97202-2075
Phone Number
503-544-3201
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C1966 (Oregon)
Definition
Definition to come...
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