person
Mr. Nathan Lee Fordham, LPC
Mental Health Counselor in Lincoln City, Oregon
NPI 1275804221

Nathan Lee Fordham is a Mental Health Counselor based in Newport, OR and is specialized in Mental Health. Nathan Lee Fordham practices in Lincoln City, OR and has the professional credentials of LPC. The NPI Number for Nathan Lee Fordham is 1275804221 and holds a License No. (Oregon).

The current practice location address for Nathan Lee Fordham is 4422 Ne Devils Lake Blvd, Lincoln City, OR and can be reached out via phone at 541-265-4196 and via fax at 541-994-1882.

Location: 4422 Ne Devils Lake Blvd, Lincoln City, OR, 97365-3821
person
Provider Profile Details
NPI Number
1275804221
Provider Name
Nathan Lee Fordham
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4422 Ne Devils Lake Blvd, Lincoln City, OR, 97365-3821
Phone Number
541-265-4196
Fax Number
541-994-1882
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4422 Ne Devils Lake Blvd
City
State
Zip
97367-5000
Phone Number
541-265-4196
Fax Number
541-994-1882
person
Provider Business Mailing Address Details
Address
4422 Ne Devils Lake Blvd
City
State
Zip
97367-5000
Phone Number
541-265-4196
Fax Number
541-994-1882
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C3541 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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