Nicholas Valentine Dexter, MA, LPC
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1073746079
StatusActive
Last updated in NPPESAug 25, 2009
Details
- NPI
- 1073746079
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas Valentine Dexter
- Credential
- MA, LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2009
- Last updated
- Aug 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C1978 | OR | Yes |
Practice location
1611 Ne 16th AvePortland, OR 97232-1413
Phone 503-528-0150
Mailing address
1611 Ne 16th AvePortland, OR 97232-1413
Phone 503-528-0150
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