Individual provider · Type 1 NPI

Jamie Vandergon, MS, LPC

Mental Health Counselor · Portland, OR

NPI number 1295899649 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Call (503) 813-7769 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC1983 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1295899649

Jamie Vandergon, MS, LPC's National Provider Identifier is 1295899649, issued on Dec 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 16, 2007.