Provider Demographics
NPI:1851440960
Name:DESHMUKH, JOANNA MILLER (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:MILLER
Last Name:DESHMUKH
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:L
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:12921 SW BRADLEY LN
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-2092
Mailing Address - Country:US
Mailing Address - Phone:503-936-4207
Mailing Address - Fax:
Practice Address - Street 1:19075 NW TANASBOURNE DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124
Practice Address - Country:US
Practice Address - Phone:503-495-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health