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Jillian Michele Short
Mental Health Counselor in Corvallis, Oregon
NPI 1902241722

Jillian Michele Short is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jillian Michele Short practices in Corvallis, OR. The NPI Number for Jillian Michele Short is 1902241722 and holds a License No. (Oregon).

The current practice location address for Jillian Michele Short is 4455 Ne Highway 20, Corvallis, OR and can be reached out via phone at 541-757-1852.

Location: 4455 Ne Highway 20, Corvallis, OR, 97202-3371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902241722
Provider Name
Jillian Michele Short
Credential
Provider Entity Type
Individual
Gender
Female
Address
4455 Ne Highway 20, Corvallis, OR, 97202-3371
Phone Number
541-757-1852
Fax Number
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-1852
Fax Number
person
Provider Business Mailing Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-1852
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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