Luke Lickey, BA
Counselor in Portland, OR. Individual provider (NPI-1).
NPI number1154297828
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1154297828
- Entity type
- Individual (NPI-1)
- Name
- Luke Lickey
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2025
- Certification date
- Oct 10, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | OR | Yes |
Practice location
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
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