Individual provider · Type 1 NPI

Lisa Sturdivant

Professional Counselor · West Linn, OR

NPI number 1225637671 Active

Practice location

21900 Willamette Dr Ste 202
West Linn, OR 97068-3284

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XT2089 (OR)
Professional Counselor Primary 101YP2500XC6175 (OR)

Professional Counselor: Definition to come...

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About NPI 1225637671

Lisa Sturdivant's National Provider Identifier is 1225637671, issued on Oct 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Linn, OR. The record was last updated on Dec 20, 2024.