Individual provider · Type 1 NPI

Jonathan Willden, MA, LPC INTERN

Mental Health Counselor · Beaverton, OR

NPI number 1801400742 Active

Practice location

12655 SW Center St Ste 100
Beaverton, OR 97005-1600

Call (503) 828-3402 Map

Mailing address

1940 NW Miller Rd Apt C110
Portland, OR 97229-4169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801400742

Jonathan Willden, MA, LPC INTERN's National Provider Identifier is 1801400742, issued on Sep 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Sep 8, 2020.