Individual provider · Type 1 NPI
Alexandra Jae Bershon
Mental Health Counselor · Portland, OR
NPI number
1689357725
Active
Practice location
1939 NE Broadway St Ste D
Portland, OR 97232-1584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1689357725
Alexandra Jae Bershon's National Provider Identifier is 1689357725, issued on Aug 7, 2023. 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 17, 2024.