person
Kannon Elizabeth, LCSW,LICSW
Mental Health Counselor in Portland, Oregon
NPI 1326463712

Kannon Elizabeth is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kannon Elizabeth practices in Portland, OR and has the professional credentials of LCSW,LICSW. The NPI Number for Kannon Elizabeth is 1326463712 and holds a License No. LW60713264 (Oregon).

The current practice location address for Kannon Elizabeth is 6500 S Macadam Ave Ste 375, Portland, OR and can be reached out via phone at 541-357-9433.

Location: 6500 S Macadam Ave Ste 375, Portland, OR, 97239-3566
person
Provider Profile Details
NPI Number
1326463712
Provider Name
Kannon Elizabeth
Credential
LCSW,LICSW
Provider Entity Type
Individual
Gender
Female
Address
6500 S Macadam Ave Ste 375, Portland, OR, 97239-3566
Phone Number
541-357-9433
Fax Number
Provider Enumeration Date
02/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6500 S Macadam Ave Ste 375
City
State
Zip
97239-3566
Phone Number
541-357-9433
Fax Number
person
Provider Business Mailing Address Details
Address
6500 S Macadam Ave Ste 375
City
State
Zip
97239-3566
Phone Number
541-357-9433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
L7100 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LW60713264 (Washington)
Definition
Definition to come...
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