Individual provider · Type 1 NPI

Jacqueline Ladue, MA

Mental Health Counselor · Portland, OR

NPI number 1780412114 Active

Practice location

905 SE 14th Ave
Portland, OR 97214-2569

Call (503) 622-8964 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR12270 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1780412114

Jacqueline Ladue, MA's National Provider Identifier is 1780412114, issued on Jul 25, 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 15, 2026.