person
Lisa Peacock, LMFT
Mental Health Counselor in Portland, Oregon
NPI 1629310990

Lisa Peacock is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Lisa Peacock practices in Portland, OR and has the professional credentials of LMFT. The NPI Number for Lisa Peacock is 1629310990 and holds a License No. 51797 (Oregon).

The current practice location address for Lisa Peacock is 4433 Ne 35 Place, Portland, OR and can be reached out via phone at 310-946-5567.

Location: 4433 Ne 35 Place, Portland, OR, 97211-8266
person
Provider Profile Details
NPI Number
1629310990
Provider Name
Lisa Peacock
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
4433 Ne 35 Place, Portland, OR, 97211-8266
Phone Number
310-946-5567
Fax Number
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4433 Ne 35 Place
City
State
Zip
97211
Phone Number
310-946-5567
Fax Number
person
Provider Business Mailing Address Details
Address
4433 Ne 35 Place
City
State
Zip
97211
Phone Number
310-946-5567
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
51797 (California)
Definition
Definition to come...
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