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Jeanie Elizabeth Petersen
Mental Health Counselor in West Linn, Oregon
NPI 1710607528

Jeanie Elizabeth Petersen is a Mental Health Counselor based in West Linn, OR and is specialized in Mental Health. Jeanie Elizabeth Petersen practices in West Linn, OR. The NPI Number for Jeanie Elizabeth Petersen is 1710607528 and holds a License No. L10678 (Oregon).

The current practice location address for Jeanie Elizabeth Petersen is 2906 Bluegrass Way, West Linn, OR and can be reached out via phone at 503-351-5681.

Location: 2906 Bluegrass Way, West Linn, OR, 97068-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710607528
Provider Name
Jeanie Elizabeth Petersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
2906 Bluegrass Way, West Linn, OR, 97068-2309
Phone Number
503-351-5681
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2906 Bluegrass Way
City
West Linn
State
Oregon
Zip
97068-2309
Phone Number
503-351-5681
Fax Number
person
Provider Business Mailing Address Details
Address
2906 Bluegrass Way
City
West Linn
State
Oregon
Zip
97068-2309
Phone Number
503-351-5681
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L10678 (Oregon)
Definition
Definition to come...
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