Individual provider · Type 1 NPI

Jessica Marie Bettendorf

Professional Counselor · Vancouver, WA

NPI number 1174051569 Active

Practice location

7507 NE 51st St
Vancouver, WA 98662-6007

Call (360) 906-1190 Map

Other practice locations

  • 1500 NW Bethany Blvd Ste 320, Beaverton, OR 97006-5238 · (503) 567-3260

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X61456725 (WA)
Mental Health Counselor 101YM0800XR8594 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500XC11140 (OR)
Mental Health Counselor 101YM0800XLH61588961 (WA)

Professional Counselor: Definition to come...

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About NPI 1174051569

Jessica Marie Bettendorf's National Provider Identifier is 1174051569, issued on May 30, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vancouver, WA. The record was last updated on Jan 30, 2026.