person
Ms. Jennifer L. Mix, LPC
Professional Counselor in Portland, Oregon
NPI 1447337829

Jennifer L. Mix is a Professional Counselor based in Hillsboro, OR and is specialized in Professional. Jennifer L. Mix practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Jennifer L. Mix is 1447337829 and holds a License No. 20231 (Oregon).

The current practice location address for Jennifer L. Mix is 5415 Sw Westgate Dr, Portland, OR and can be reached out via phone at 503-645-3581 and via fax at 971-420-0297.

Location: 5415 Sw Westgate Dr, Portland, OR, 97123-4796
person
Provider Profile Details
NPI Number
1447337829
Provider Name
Jennifer L. Mix
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5415 Sw Westgate Dr, Portland, OR, 97123-4796
Phone Number
503-645-3581
Fax Number
971-420-0297
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179075001 05 TX
institution
Provider Business Practice Location Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-645-3581
Fax Number
971-420-0297
person
Provider Business Mailing Address Details
Address
5415 Sw Westgate Dr
City
State
Zip
97221-2409
Phone Number
503-645-3581
Fax Number
971-420-0297
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
20231 (Texas)
Definition
Definition to come...
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