Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CONNIE LAVERNE MCMULLEN, MS LPC NCC

Active Sole Proprietor

MS. CONNIE LAVERNE MCMULLEN, MS LPC NCC is a Professional Counselor healthcare provider located in PORTLAND, Oregon. NPI 1972712149 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PORTLAND, OR

Registration Details

NPI Number: 1972712149
Provider Type: Individual
Gender: Female
NPI Issued: May 22, 2007 (19.189094487439 yrs)
Last Updated: Jun 2, 2016
Licenses: 55781

C1724 (OR)
Sole Proprietor: Yes

Practice Information

Address: 10260 SW GREENBURG RD

473

PORTLAND, OR, 972235500
Browse OR providers · Browse ZIP 97223
Phone: 5035448221
Fax: 5032464446
Primary Specialty: Professional Counselor
101YP2500X
Additional Specialty: Professional Counselor

Other Professional Counselor Providers in PORTLAND, OR

Name	Credential	NPI
MRS. KATHLEEN MARIE LOVE	LPC	1427047927
NANCY C BOBERNAC	LPC	1912986696
JOHN MICHAEL CHAPMAN	LPC	1346213584
MS. RACHEL ELIZABETH STARCK	MA LICENSED PROFESSI	1033187315
MS. HEIDI JOLSON	MA LPC NCC CADC I	1417917246
FAITH E WINTERS	LPC, CFLE	1255392502

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.