Individual provider · Type 1 NPI

Shaniqua Jeter

Mental Health Counselor · Portland, OR

NPI number 1720814254 Active

Practice location

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

Other practice locations

  • 108 Valley Vw, Marshall, TX 75672-7493 · (903) 742-6528

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X88443 (TX)
Mental Health Counselor Primary 101YM0800XR10431 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1720814254

Shaniqua Jeter's National Provider Identifier is 1720814254, issued on Sep 11, 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 Jan 3, 2025.