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Jackson Wilshire, MA,LPC-INT
Mental Health Counselor in Gresham, Oregon
NPI 1609273168

Jackson Wilshire is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jackson Wilshire practices in Gresham, OR and has the professional credentials of MA,LPC-INT. The NPI Number for Jackson Wilshire is 1609273168 and holds a License No. (Oregon).

The current practice location address for Jackson Wilshire is 400 Ne 7Th St, Gresham, OR and can be reached out via phone at 503-661-5455.

Location: 400 Ne 7Th St, Gresham, OR, 97229-5442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609273168
Provider Name
Jackson Wilshire
Credential
MA,LPC-INT
Provider Entity Type
Individual
Gender
Male
Address
400 Ne 7Th St, Gresham, OR, 97229-5442
Phone Number
503-661-5455
Fax Number
Provider Enumeration Date
11/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Ne 7Th St
City
Gresham
State
Oregon
Zip
97030-5604
Phone Number
503-661-5455
Fax Number
person
Provider Business Mailing Address Details
Address
400 Ne 7Th St
City
Gresham
State
Oregon
Zip
97030-5604
Phone Number
503-661-5455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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