Jeremy Nicholas Burlingame - Portland, OR

Jeremy Nicholas Burlingame

Counselor in Portland, Oregon

NPI 1437356383

Jeremy Nicholas Burlingame is a Counselor based in Portland, OR. Jeremy Nicholas Burlingame practices in Portland, OR. The NPI Number for Jeremy Nicholas Burlingame is 1437356383 and holds a License No. (Oregon).

The current practice location address for Jeremy Nicholas Burlingame is 4310 Ne Killingsworth St, Portland, OR and can be reached out via phone at 503-535-1150 and via fax at 503-528-0800.

Location: 4310 Ne Killingsworth St, Portland, OR, 97239-2853

NPI Number

1437356383

Provider Name

Jeremy Nicholas Burlingame

Credential

Provider Entity Type

Individual

Gender

Male

Address

4310 Ne Killingsworth St, Portland, OR, 97239-2853

Phone Number

503-535-1150

Fax Number

503-528-0800

Provider Enumeration Date

07/02/2007

Last Update Date

03/09/2024

Address

4310 Ne Killingsworth St

City

Portland

State

Oregon

Zip

97218-1404

Phone Number

503-535-1150

Fax Number

503-528-0800

Address

4310 Ne Killingsworth St

City

Portland

State

Oregon

Zip

97218-1404

Phone Number

503-535-1150

Fax Number

503-528-0800

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

()

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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