Individual provider · Type 1 NPI
Jennifer Larson, MA
Mental Health Counselor · Portland, OR
NPI number
1861049835
Active
Practice location
7110 SE Lafayette St
Portland, OR 97206-2538
Mailing address
PO Box 66002
Portland, OR 97290-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861049835
Jennifer Larson, MA's National Provider Identifier is 1861049835, issued on Aug 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 14, 2026.