person
Ms. Tirzah D Jacob, LPC
Professional Counselor in Portland, Oregon
NPI 1669497467

Tirzah D Jacob is a Professional Counselor based in Portland, OR and is specialized in Professional. Tirzah D Jacob practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Tirzah D Jacob is 1669497467 and holds a License No. C1780 (Oregon).

The current practice location address for Tirzah D Jacob is 6129 Ne Skidmore St, Portland, OR and can be reached out via phone at 503-407-9232. You can also correspond with Tirzah D Jacob through the mailing address at 6129 NE SKIDMORE ST, PORTLAND, OR - 97218-2227 (mailing address contact number: 503-407-9232).

Location: 6129 Ne Skidmore St, Portland, OR, 97218-2227
person
Provider Profile Details
NPI Number
1669497467
Provider Name
Tirzah D Jacob
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6129 Ne Skidmore St, Portland, OR, 97218-2227
Phone Number
503-407-9232
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030027 01 OR OAID
1265740096 01 OR BFHLPC
11607801 01 OR CAQH
500601179 05 OR
C1780 01 OR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
6129 Ne Skidmore St
City
State
Zip
97218-2227
Phone Number
503-407-9232
Fax Number
person
Provider Business Mailing Address Details
Address
6129 Ne Skidmore St
City
State
Zip
97218-2227
Phone Number
503-407-9232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1780 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C1780 (Oregon)
Definition
Definition to come...
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