Individual provider · Type 1 NPI

Jill Anne Shealy

Mental Health Counselor · Portland, OR

NPI number 1669795837 Active · reactivated Dec 2, 2020

Practice location

7029 N Wall Ave
Portland, OR 97203-5151

Call (503) 208-4049 Map

Fax (971) 346-4489

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1669795837

Jill Anne Shealy's National Provider Identifier is 1669795837, issued on Mar 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2025.