Individual provider · Type 1 NPI

Jacob Perry, MA

Counselor · Portland, OR

NPI number 1013274257 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1151 Map

Mailing address

PO Box 3007, De Paul Treatment Centers
Portland, OR 97208

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013274257

Jacob Perry, MA's National Provider Identifier is 1013274257, issued on Apr 12, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Apr 12, 2012.