Individual provider · Type 1 NPI

Jenna Abernathy, MA, LPC INTERN, LMT

Mental Health Counselor · Portland, OR

NPI number 1407300205 Active

Practice location

3537 N Williams Ave
Portland, OR 97227

Call (503) 309-8622 Map

Mailing address

4545 NE Mallory Ave
Portland, OR 97211-3330

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X10987 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407300205

Jenna Abernathy, MA, LPC INTERN, LMT's National Provider Identifier is 1407300205, issued on Aug 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 4, 2019.