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Lamaya T Jarrell, PSS/QMHA-R
Peer Specialist in Portland, Oregon
NPI 1386340438

Lamaya T Jarrell is a Peer Specialist based in Portland, OR. Lamaya T Jarrell practices in Portland, OR and has the professional credentials of PSS/QMHA-R. The NPI Number for Lamaya T Jarrell is 1386340438 and holds a License No. 23-QMHA-R-3567 (Oregon).

The current practice location address for Lamaya T Jarrell is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1386340438
Provider Name
Lamaya T Jarrell
Credential
PSS/QMHA-R
Provider Entity Type
Individual
Gender
Female
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500815209 05 OR
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
THW000106422 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-QMHA-R-3567 (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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