Individual provider · Type 1 NPI

Tina Rae Jessup, QMHP

Mental Health Counselor · Klamath Falls, OR

NPI number 1669175865 Active

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Fax (541) 884-2338

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669175865

Tina Rae Jessup, QMHP's National Provider Identifier is 1669175865, issued on Mar 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Klamath Falls, OR. The record was last updated on Sep 29, 2026.