Individual provider · Type 1 NPI

Connie Laverne McMullen, MS LPC NCC

Professional Counselor · Portland, OR

NPI number 1972712149 Active

Practice location

10260 SW Greenburg Rd, 473
Portland, OR 97223-5500

Fax (503) 246-4446

Mailing address

8193 SW 82nd Pl
Portland, OR 97223-6995

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X55781
Professional Counselor Primary 101YP2500XC1724 (OR)

Professional Counselor: Definition to come...

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About NPI 1972712149

Connie Laverne McMullen, MS LPC NCC's National Provider Identifier is 1972712149, issued on May 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jun 2, 2016.