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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 09/08/2010
Query Time: 09/08/2010 09:54:09 pm

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 880800
First Name JEFFREY M.
Last Name ANDERSON
Title PSY.D.
Address 9450 SW BARNES ROAD, STE. 200
City PORTLAND
State OR
Country U.S.A
Phone Number 503-216-2708
Status Applicant
Date Licensed
Expiration Date
Proposed or Final Discipline No
Under Supervision No

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Licensed Psychologist = PH.D, PSY.D, ED.D
Licensed Psychologist Associate = MA, MS

 

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