Individual provider · Type 1 NPI
Jessica Rochelle Bradburn, M.A.
Mental Health Counselor · Lake Oswego, OR
NPI number
1891522595
Active
Practice location
9 Monroe Pkwy Ste 205
Lake Oswego, OR 97035-8864
Mailing address
9 Monroe Pkwy Ste 250
Lake Oswego, OR 97035-8866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R8333 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1891522595
Jessica Rochelle Bradburn, M.A.'s National Provider Identifier is 1891522595, issued on Sep 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Oswego, OR. The record was last updated on Sep 17, 2024.