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Elisia Lopez-mendiola, LCSW,QMHP
Professional Counselor in Portland, Oregon
NPI 1528371358

Elisia Lopez-mendiola is a Professional Counselor based in Portland, OR and is specialized in Professional. Elisia Lopez-mendiola practices in Portland, OR and has the professional credentials of LCSW,QMHP. The NPI Number for Elisia Lopez-mendiola is 1528371358 and holds a License No. (Oregon).

The current practice location address for Elisia Lopez-mendiola is 12121 E Burnside St, Portland, OR and can be reached out via phone at 971-361-7764.

Location: 12121 E Burnside St, Portland, OR, 97216-3737
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Provider Profile Details
NPI Number
1528371358
Provider Name
Elisia Lopez-mendiola
Credential
LCSW,QMHP
Provider Entity Type
Individual
Gender
Female
Address
12121 E Burnside St, Portland, OR, 97216-3737
Phone Number
971-361-7764
Fax Number
Provider Enumeration Date
07/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7764
Fax Number
person
Provider Business Mailing Address Details
Address
12121 E Burnside St
City
State
Zip
97216-3737
Phone Number
971-361-7764
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
L8223 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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