Individual provider · Type 1 NPI

Dee Jacob

Mental Health Counselor · Portland, OR

NPI number 1609771062 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Mailing address

PO Box 1569
Portland, OR 97207-1569

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X25-QMHA-R7303 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1609771062

Dee Jacob's National Provider Identifier is 1609771062, issued on Oct 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2026.