Individual provider · Type 1 NPI

Jenna Bonnichsen

Mental Health Counselor · Portland, OR

NPI number 1134461585 Active

Practice location

3602 SE 28th Pl, Apt 4
Portland, OR 97202-3084

Call (701) 793-1109 Map

Mailing address

691 John Wesley Dobbs Ave NE, Unit Q
Atlanta, GA 30312-1690

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134461585

Jenna Bonnichsen's National Provider Identifier is 1134461585, issued on Mar 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2013.