Individual provider · Type 1 NPI

Jonathan Chrystal, QMHP

Mental Health Counselor · Salem, OR

NPI number 1508242736 Active

Practice location

3878 Beverly Ave NE, H Suite 11
Salem, OR 97305-1394

Fax (503) 584-4837

Mailing address

1620 NE 24th Ave, #106
Portland, OR 97232-1669

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508242736

Jonathan Chrystal, QMHP's National Provider Identifier is 1508242736, issued on Aug 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Aug 11, 2015.