| Alexis Lessard-templin, Lcsw, Llc | |
|
2512 Se 25th Ave Suite 202 Portland OR 97202 | |
| (503) 457-5019 | |
| (503) 606-8323 |
| Full Name | Alexis Lessard-templin, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2512 Se 25th Ave, Portland, Oregon |
| Authorized Official Name and Position | Alexis D Lessard-templin (OWNER, THERAPIST) |
| Authorized Official Contact | 5034575019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Lessard-templin, Lcsw, Llc 2512 Se 25th Ave Suite 202 Portland OR 97202 Ph: (503) 457-5019 | Alexis Lessard-templin, Lcsw, Llc 2512 Se 25th Ave Suite 202 Portland OR 97202 Ph: (503) 457-5019 |
| NPI Number | 1487103636 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487103636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L6609 (Oregon) | Primary |
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