Individual provider · Type 1 NPI

Jonathan Kole, MA, MS

Mental Health Counselor · Portland, OR

NPI number 1649916164 Active

Practice location

5441 S Macadam Ave Ste N
Portland, OR 97239-6106

Mailing address

3439 SE Hawthorne Blvd Unit 917
Portland, OR 97214-5048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61618507 (WA)
Mental Health Counselor 101YM0800X24-QMHA-R-5292 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1649916164

Jonathan Kole, MA, MS's National Provider Identifier is 1649916164, issued on May 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 16, 2024.