MR. Nathan Lee Fordham, LPC

NPI #1275804221 in Lincoln City, Oregon

Provider Information

NPI Number
1275804221
Entity Type
Individual
Name
MR. Nathan Lee Fordham, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Jan 23, 2012
Last Updated
Nov 14, 2018

Practice Location

Address
4422 NE DEVILS LAKE BLVD
Address 2
SUITE 2
State
Oregon
ZIP Code
97367-5000
Phone
(541) 265-4196

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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