Individual provider · Type 1 NPI

Jae Patricia Douglas, LMSW, PhD

Mental Health Counselor · Portland, OR

NPI number 1881370153 Active

Practice location

9805 NE Shaver St
Portland, OR 97220-3651

Call (503) 860-7589 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XM13927 (OR)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1881370153

Jae Patricia Douglas, LMSW, PhD's National Provider Identifier is 1881370153, issued on Jun 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 22, 2023.