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Jerry Lee Keith
Mental Health Counselor in Clackamas, Oregon
NPI 1528761996

Jerry Lee Keith is a Mental Health Counselor based in Clackamas, OR and is specialized in Mental Health. Jerry Lee Keith practices in Clackamas, OR. The NPI Number for Jerry Lee Keith is 1528761996 and holds a License No. R8222 (Oregon).

The current practice location address for Jerry Lee Keith is 14448 Se Bridgeton St, Clackamas, OR and can be reached out via phone at 541-399-2729.

Location: 14448 Se Bridgeton St, Clackamas, OR, 97015-6270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528761996
Provider Name
Jerry Lee Keith
Credential
Provider Entity Type
Individual
Gender
Male
Address
14448 Se Bridgeton St, Clackamas, OR, 97015-6270
Phone Number
541-399-2729
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14448 Se Bridgeton St
City
Clackamas
State
Oregon
Zip
97015-6270
Phone Number
541-399-2729
Fax Number
person
Provider Business Mailing Address Details
Address
14448 Se Bridgeton St
City
Clackamas
State
Oregon
Zip
97015-6270
Phone Number
541-399-2729
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R8222 (Oregon)
Definition
Definition to come...
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