Provider Demographics
NPI:1689979247
Name:LICHTMAN, HELENE K (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:K
Last Name:LICHTMAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 SW 69TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-1115
Mailing Address - Country:US
Mailing Address - Phone:503-975-1213
Mailing Address - Fax:
Practice Address - Street 1:1346 SW 69TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-1115
Practice Address - Country:US
Practice Address - Phone:503-975-1213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional