Mr. Larston Petticord, MS, LPC
Mr. Larston Petticord, MS, LPC is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
3419 NE Sandy BlvdPortland, OR 97232-1959
Phone: (503) 914-6199
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1871889261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LPC |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2011 |
| Last updated in NPPES | October 2, 2019 |
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