person
Dr. Jae Patricia Douglas, LMSW,PHD
Mental Health Counselor in Portland, Oregon
NPI 1881370153

Jae Patricia Douglas is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jae Patricia Douglas practices in Portland, OR and has the professional credentials of LMSW,PHD. The NPI Number for Jae Patricia Douglas is 1881370153 and holds a License No. M13927 (Oregon).

The current practice location address for Jae Patricia Douglas is 9805 Ne Shaver St, Portland, OR and can be reached out via phone at 503-860-7589.

Location: 9805 Ne Shaver St, Portland, OR, 97220-3651
person
Provider Profile Details
NPI Number
1881370153
Provider Name
Jae Patricia Douglas
Credential
LMSW,PHD
Provider Entity Type
Individual
Gender
Female
Address
9805 Ne Shaver St, Portland, OR, 97220-3651
Phone Number
503-860-7589
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9805 Ne Shaver St
City
State
Zip
97220-3651
Phone Number
503-860-7589
Fax Number
person
Provider Business Mailing Address Details
Address
9805 Ne Shaver St
City
State
Zip
97220-3651
Phone Number
503-860-7589
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
M13927 (Oregon)
Definition
Definition to come...
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