Individual provider · Type 1 NPI
Michael David Jolliffe, LPC INTERN
Mental Health Counselor · Portland, OR
NPI number
1326631060
Active
Practice location
3642 SE 33rd Ave
Portland, OR 97202-3488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R6399 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1326631060
Michael David Jolliffe, LPC INTERN's National Provider Identifier is 1326631060, issued on Feb 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 13, 2021.