Individual provider · Type 1 NPI

Jennifer L. Mix, LPC

Professional Counselor · Portland, OR

NPI number 1447337829 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Call (503) 645-3581 Map

Fax (971) 420-0297

Mailing address

1078 SE 11th Ave
Hillsboro, OR 97123-4796

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X20231 (TX)
Professional Counselor Primary 101YP2500XC6625 (OR)

Professional Counselor: Definition to come...

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About NPI 1447337829

Jennifer L. Mix, LPC's National Provider Identifier is 1447337829, issued on Nov 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 3, 2024.