Individual provider · Type 1 NPI

Jessica Genco

Mental Health Counselor · Corvallis, OR

NPI number 1609223411 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609223411

Jessica Genco's National Provider Identifier is 1609223411, issued on May 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corvallis, OR. The record was last updated on May 21, 2016.