person
Jesirayla Mali Khamsouk
Mental Health Counselor in Milwaukie, Oregon
NPI 1306456124

Jesirayla Mali Khamsouk is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Jesirayla Mali Khamsouk practices in Milwaukie, OR. The NPI Number for Jesirayla Mali Khamsouk is 1306456124 and holds a License No. (Oregon).

The current practice location address for Jesirayla Mali Khamsouk is 13850 Se Autumn Ridge Ter, Milwaukie, OR and can be reached out via phone at 503-974-9250 and via fax at 503-974-9586.

Location: 13850 Se Autumn Ridge Ter, Milwaukie, OR, 97504-4004
person
Provider Profile Details
NPI Number
1306456124
Provider Name
Jesirayla Mali Khamsouk
Credential
Provider Entity Type
Individual
Gender
Female
Address
13850 Se Autumn Ridge Ter, Milwaukie, OR, 97504-4004
Phone Number
503-974-9250
Fax Number
503-974-9586
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13850 Se Autumn Ridge Ter
City
State
Zip
97267-2150
Phone Number
503-974-9250
Fax Number
503-974-9586
person
Provider Business Mailing Address Details
Address
13850 Se Autumn Ridge Ter
City
State
Zip
97267-2150
Phone Number
503-974-9250
Fax Number
503-974-9586
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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