Provider Demographics
NPI:1700152907
Name:LE COMPTE, MARCI LYNN (LPC, QMHP)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:LYNN
Last Name:LE COMPTE
Suffix:
Gender:F
Credentials:LPC, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ROBIN CT
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426-9713
Mailing Address - Country:US
Mailing Address - Phone:541-852-9714
Mailing Address - Fax:
Practice Address - Street 1:48207 HIGHWAY 58
Practice Address - Street 2:
Practice Address - City:OAKRIDGE
Practice Address - State:OR
Practice Address - Zip Code:97463-9665
Practice Address - Country:US
Practice Address - Phone:541-852-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-01
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional