Individual provider · Type 1 NPI

Jerome Thomas Gilgan, CADC I

Mental Health Counselor · Portland, OR

NPI number 1558790071 Active

Practice location

2318 NE Mlk Blvd
Portland, OR 97212-3715

Call (503) 802-0298 Map

Fax (503) 335-8636

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X08-06-23 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558790071

Jerome Thomas Gilgan, CADC I's National Provider Identifier is 1558790071, issued on Nov 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 23, 2015.