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LARSTON PETTICORD, MS, LPC

MS, LPC

Mental Health Counselor

NPI: 1871889261Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
3419 NE SANDY BLVD
PORTLAND, OR 97232

Quick Facts

NPI
1871889261
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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