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1932702701
LISA HEADINGS
PORTLAND, OR
NPI
1932702701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R6302)
Enumeration Date
2020-11-16
Last Update Date
2024-01-29
Business Address
LISA HEADINGS
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 503-703-5186
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Mailing Address
LISA HEADINGS
1525 SE 44TH AVE APT 203
PORTLAND, OR 97215-3176
Phone number: 503-703-5186
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