Individual provider · Type 1 NPI

Jaquelyn Victoria Reyes Alonzo

Mental Health Counselor · Lake Oswego, OR

NPI number 1013693431 Active

Practice location

2507 Christie Dr
Lake Oswego, OR 97034

Call (503) 635-3416 Map

Mailing address

PO Box 368
Portland, OR 97207-0368

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013693431

Jaquelyn Victoria Reyes Alonzo's National Provider Identifier is 1013693431, issued on Jun 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Oswego, OR. The record was last updated on Jun 22, 2023.