person
Jerome Thomas Gilgan, CADCI
Mental Health Counselor in Portland, Oregon
NPI 1558790071

Jerome Thomas Gilgan is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jerome Thomas Gilgan practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Jerome Thomas Gilgan is 1558790071 and holds a License No. 08-06-23 (Oregon).

The current practice location address for Jerome Thomas Gilgan is 2318 Ne Mlk Blvd, Portland, OR and can be reached out via phone at 503-802-0298 and via fax at 503-335-8636.

Location: 2318 Ne Mlk Blvd, Portland, OR, 97212-3715
person
Provider Profile Details
NPI Number
1558790071
Provider Name
Jerome Thomas Gilgan
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
2318 Ne Mlk Blvd, Portland, OR, 97212-3715
Phone Number
503-802-0298
Fax Number
503-335-8636
Provider Enumeration Date
11/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2318 Ne Mlk Blvd
City
State
Zip
97212-3715
Phone Number
503-802-0298
Fax Number
503-335-8636
person
Provider Business Mailing Address Details
Address
2318 Ne Mlk Blvd
City
State
Zip
97212-3715
Phone Number
503-802-0298
Fax Number
503-335-8636
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
08-06-23 (Oregon)
Definition
Definition to come...
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