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Jaclyn P Wiley
Mental Health Counselor in Tigard, Oregon
NPI 1205315454

Jaclyn P Wiley is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Jaclyn P Wiley practices in Tigard, OR. The NPI Number for Jaclyn P Wiley is 1205315454 and holds a License No. (Oregon).

The current practice location address for Jaclyn P Wiley is 8915 Sw Center St, Tigard, OR and can be reached out via phone at 530-726-3740.

Location: 8915 Sw Center St, Tigard, OR, 97223-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205315454
Provider Name
Jaclyn P Wiley
Credential
Provider Entity Type
Individual
Gender
Female
Address
8915 Sw Center St, Tigard, OR, 97223-6307
Phone Number
530-726-3740
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
530-726-3740
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
530-726-3740
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...
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