Individual provider · Type 1 NPI

Connor C. Jung

Professional Counselor · Portland, OR

NPI number 1366878480 Active

Practice location

709 NW Everett St
Portland, OR 97209-3517

Call (971) 352-8745 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12223 (TX)
Professional Counselor 101YP2500X71590 (TX)
Professional Counselor Primary 101YP2500XC7033 (OR)

Professional Counselor: Definition to come...

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About NPI 1366878480

Connor C. Jung's National Provider Identifier is 1366878480, issued on Sep 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Aug 30, 2024.