Provider Demographics
NPI:1619304821
Name:LAFRAMBOISE, MINDY (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:MINDY
Middle Name:
Last Name:LAFRAMBOISE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E POWELL BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7622
Mailing Address - Country:US
Mailing Address - Phone:503-328-8715
Mailing Address - Fax:503-328-8764
Practice Address - Street 1:123 E POWELL BLVD STE 212
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7622
Practice Address - Country:US
Practice Address - Phone:503-328-8715
Practice Address - Fax:503-328-8764
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health