Individual provider · Type 1 NPI
Jade Elisabeth Elaine Thayer
Mental Health Counselor · Gresham, OR
NPI number
1346649860
Active
Practice location
847 SE Francis Ave
Gresham, OR 97080-1343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1346649860
Jade Elisabeth Elaine Thayer's National Provider Identifier is 1346649860, issued on Aug 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Aug 20, 2014.