Individual provider · Type 1 NPI

Jessica Tolleson, M.A., LPC

Professional Counselor · Portland, OR

NPI number 1164837076 Active

Practice location

610 SW Alder St, Suite 1100
Portland, OR 97205-3625

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC4194 (OR)

Professional Counselor: Definition to come...

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About NPI 1164837076

Jessica Tolleson, M.A., LPC's National Provider Identifier is 1164837076, issued on Jun 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jul 7, 2016.