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Jenna Lee Carrell, PSS,THW,CRM
Mental Health Counselor in Dallas, Oregon
NPI 1144895012

Jenna Lee Carrell is a Mental Health Counselor based in Dallas, OR and is specialized in Mental Health. Jenna Lee Carrell practices in Dallas, OR and has the professional credentials of PSS,THW,CRM. The NPI Number for Jenna Lee Carrell is 1144895012 and holds a License No. THW000003374 (Oregon).

The current practice location address for Jenna Lee Carrell is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289. You can also correspond with Jenna Lee Carrell through the mailing address at 182 SW ACADEMY ST, DALLAS, OR - 97338-1996 (mailing address contact number: 503-623-9289).

Location: 182 Sw Academy St, Dallas, OR, 97338-1996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144895012
Provider Name
Jenna Lee Carrell
Credential
PSS,THW,CRM
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1996
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000003374 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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