Individual provider · Type 1 NPI

Jeremy Eldon Gibbon

Counselor · Portland, OR

NPI number 1952507345 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Mailing address

1035 SE 12th Ave Apt 16
Portland, OR 97214-2592

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 1952507345

Jeremy Eldon Gibbon's National Provider Identifier is 1952507345, issued on Jun 22, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.