Individual provider · Type 1 NPI

Jennie Ju

Mental Health Counselor · Portland, OR

NPI number 1346664158 Active

Practice location

5511 SE Hawthorne Blvd
Portland, OR 97215-3367

Call (503) 715-6442 Map

Fax (503) 517-1297

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3198 (OR)
Professional Counselor 101YP2500XC3198 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1346664158

Jennie Ju's National Provider Identifier is 1346664158, issued on Feb 13, 2014. 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, 2014.