Provider Demographics
NPI:1447673728
Name:TEJEDA, ELINOR (LPC)
Entity type:Individual
Prefix:MRS
First Name:ELINOR
Middle Name:
Last Name:TEJEDA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ELINOR
Other - Middle Name:
Other - Last Name:ALLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4760 HARCOURT AVE NE
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-3831
Mailing Address - Country:US
Mailing Address - Phone:503-765-6171
Mailing Address - Fax:
Practice Address - Street 1:4760 HARCOURT AVE NE
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-3831
Practice Address - Country:US
Practice Address - Phone:503-765-6171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health