Individual provider · Type 1 NPI

Issa Liley Ubidia-Luckett, MSW

Mental Health Counselor · Lake Oswego, OR

NPI number 1740808278 Active

Practice location

2507 Christie Drive
Lake Oswego, OR 97034

Call (503) 675-2246 Map

Mailing address

101 N Morris St Apt 102
Portland, OR 97227-1573

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740808278

Issa Liley Ubidia-Luckett, MSW's National Provider Identifier is 1740808278, issued on Jul 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Oswego, OR. The record was last updated on Jul 10, 2020.