Individual provider · Type 1 NPI

Celess Jollymore

Mental Health Counselor · Portland, OR

NPI number 1083006050 Active

Practice location

3716 NE Mlk Jr Blvd
Portland, OR 97212-1111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083006050

Celess Jollymore's National Provider Identifier is 1083006050, issued on Feb 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2015.