person
Lana Joy Shotwell Kubo, MA
Professional Counselor in Portland, Oregon
NPI 1750431649

Lana Joy Shotwell Kubo is a Professional Counselor based in Portland, OR and is specialized in Professional. Lana Joy Shotwell Kubo practices in Portland, OR and has the professional credentials of MA. The NPI Number for Lana Joy Shotwell Kubo is 1750431649 and holds a License No. (Oregon).

The current practice location address for Lana Joy Shotwell Kubo is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-813-7705 and via fax at 503-205-0188.

Location: 3415 Se Powell Blvd, Portland, OR, 97202-3371
person
Provider Profile Details
NPI Number
1750431649
Provider Name
Lana Joy Shotwell Kubo
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3415 Se Powell Blvd, Portland, OR, 97202-3371
Phone Number
503-813-7705
Fax Number
503-205-0188
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-813-7705
Fax Number
503-205-0188
person
Provider Business Mailing Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-813-7705
Fax Number
503-205-0188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C2396 (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...
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