Individual provider · Type 1 NPI

Jeffrey F. Eldredge, MA, LPC

Mental Health Counselor · Portland, OR

NPI number 1013555853 Active

Practice location

5511 SE Hawthorne Blvd
Portland, OR 97215-3367

Mailing address

7310 SE 113th Ave
Portland, OR 97266-4903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC5511 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1013555853

Jeffrey F. Eldredge, MA, LPC's National Provider Identifier is 1013555853, issued on Dec 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 11, 2019.