person
Jennie B Hagen, MA
Mental Health Counselor in Portland, Oregon
NPI 1134287451

Jennie B Hagen is a Mental Health Counselor based in Vancouver, OR and is specialized in Mental Health. Jennie B Hagen practices in Portland, OR and has the professional credentials of MA. The NPI Number for Jennie B Hagen is 1134287451 and holds a License No. C3345 (Oregon).

The current practice location address for Jennie B Hagen is 2705 E Burnside St, Portland, OR and can be reached out via phone at 503-622-9140.

Location: 2705 E Burnside St, Portland, OR, 98662-4420
person
Provider Profile Details
NPI Number
1134287451
Provider Name
Jennie B Hagen
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2705 E Burnside St, Portland, OR, 98662-4420
Phone Number
503-622-9140
Fax Number
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2705 E Burnside St
City
State
Zip
97214-1763
Phone Number
503-622-9140
Fax Number
person
Provider Business Mailing Address Details
Address
2705 E Burnside St
City
State
Zip
97214-1763
Phone Number
503-622-9140
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60321408 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3345 (Oregon)
Definition
Definition to come...
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