Provider Demographics
NPI:1457491177
Name:HALILAJ, ARDIANA (LPC)
Entity Type:Individual
Prefix:MS
First Name:ARDIANA
Middle Name:
Last Name:HALILAJ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8532 N IVANHOE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-4827
Mailing Address - Country:US
Mailing Address - Phone:971-222-7270
Mailing Address - Fax:
Practice Address - Street 1:8532 N IVANHOE ST STE 205
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-4827
Practice Address - Country:US
Practice Address - Phone:971-222-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health