Individual provider · Type 1 NPI
Jennifer Pearl Waldorf, LPC
Professional Counselor · Portland, OR
NPI number
1972045128
Active
Practice location
333 NE Hancock St # 16
Portland, OR 97212-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C4308 (OR) |
Professional Counselor: Definition to come...
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About NPI 1972045128
Jennifer Pearl Waldorf, LPC's National Provider Identifier is 1972045128, issued on Nov 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Nov 4, 2016.