Individual provider · Type 1 NPI
Jacqueline Bension, MA, LMFTA
Mental Health Counselor · Portland, OR
NPI number
1396149852
Active
Practice location
1705 SE 122nd Ave
Portland, OR 97233
Mailing address
4740 SE 29th Ave
Portland, OR 97202-3628
Other practice locations
- 1904 SE Division St, Portland, OR 97202-1146 · (503) 517-8663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MG60612096 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1396149852
Jacqueline Bension, MA, LMFTA's National Provider Identifier is 1396149852, issued on Oct 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 Aug 28, 2018.