Individual provider · Type 1 NPI

Jeremy Shawnte Ralls, CSWA

Mental Health Counselor · Portland, OR

NPI number 1184456014 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184456014

Jeremy Shawnte Ralls, CSWA's National Provider Identifier is 1184456014, issued on Aug 19, 2024. 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 27, 2025.