Individual provider · Type 1 NPI

Jenner Warren

Mental Health Counselor · Portland, OR

NPI number 1669291290 Active

Practice location

11 NE Mlk Blvd
Portland, OR 97232-3578

Call (971) 350-1122 Map

Mailing address

5131 SW 38th Pl Apt 47
Portland, OR 97221-3832

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9867 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1669291290

Jenner Warren's National Provider Identifier is 1669291290, issued on Oct 9, 2024. 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 9, 2024.