Individual provider · Type 1 NPI

Jessica Amanda Pennell

Mental Health Counselor · Mcminnville, OR

NPI number 1265943294 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265943294

Jessica Amanda Pennell's National Provider Identifier is 1265943294, issued on Oct 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Oct 17, 2017.