Individual provider · Type 1 NPI
Cheryl Jardine, LPC, QMHP
Professional Counselor · Gresham, OR
NPI number
1033284963
Active
Practice location
400 NE Seventh
Gresham, OR 97030
Mailing address
5445 SE 91st Ave
Portland, OR 97266-4603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1033284963
Cheryl Jardine, LPC, QMHP's National Provider Identifier is 1033284963, issued on Nov 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gresham, OR. The record was last updated on Sep 11, 2025.