Individual provider · Type 1 NPI

Tabitha Leeann Jenner

Counselor · Portland, OR

NPI number 1790092559 Active

Practice location

2410 SE 121st Ave, #216
Portland, OR 97216-4066

Call (503) 335-5975 Map

Mailing address

1544 SE 27th Ct
Troutdale, OR 97060-2409

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790092559

Tabitha Leeann Jenner's National Provider Identifier is 1790092559, issued on Sep 1, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Sep 1, 2010.