Individual provider · Type 1 NPI

Lisa L. Ladendorff, LCSW

Mental Health Counselor · La Grande, OR

NPI number 1043239767 Active

Practice location

105 Fir St, Suite 332
La Grande, OR 97850-2661

Call (541) 805-5502 Map

Fax (541) 963-5272

Mailing address

2708 N Ash St
La Grande, OR 97850-2733

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
School Social Worker 1041S0200XL2326 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043239767

Lisa L. Ladendorff, LCSW's National Provider Identifier is 1043239767, issued on Jul 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Grande, OR. The record was last updated on Apr 14, 2008.