Individual provider · Type 1 NPI

Jeremy Allen Hambelton

Mental Health Counselor · Gresham, OR

NPI number 1356636773 Active

Practice location

801 NW Wallula Ave
Gresham, OR 97030-5455

Call (503) 726-3800 Map

Mailing address

10313 SW 69th Ave
Tigard, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356636773

Jeremy Allen Hambelton's National Provider Identifier is 1356636773, issued on Jun 14, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Jun 14, 2011.