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Jessica A Trailer, QMHA-I
Mental Health Counselor in Gresham, Oregon
NPI 1033758479

Jessica A Trailer is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jessica A Trailer practices in Gresham, OR and has the professional credentials of QMHA-I. The NPI Number for Jessica A Trailer is 1033758479 and holds a License No. 22-QMHA-I-003470 (Oregon).

The current practice location address for Jessica A Trailer is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740.

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033758479
Provider Name
Jessica A Trailer
Credential
QMHA-I
Provider Entity Type
Individual
Gender
Female
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500775572 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
22-QMHA-I-003470 (Oregon)
Definition
Definition to come...
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