Individual provider · Type 1 NPI

Jake Mark Collins

Mental Health Counselor · Portland, OR

NPI number 1407325988 Active

Practice location

9320 SW Barbur Blvd Ste 200
Portland, OR 97219-5499

Call (503) 222-9661 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407325988

Jake Mark Collins's National Provider Identifier is 1407325988, issued on Nov 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 14, 2018.