Ms. Kimberly L Jackson - Portland, OR

Ms. Kimberly L Jackson

Counselor in Portland, Oregon

NPI 1922200823

Kimberly L Jackson is a Counselor based in Portland, OR. Kimberly L Jackson practices in Portland, OR. The NPI Number for Kimberly L Jackson is 1922200823 and holds a License No. (Oregon).

The current practice location address for Kimberly L Jackson is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-234-9591.

Location: 3415 Se Powell Blvd, Portland, OR, 97202-3371

NPI Number

1922200823

Provider Name

Kimberly L Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

3415 Se Powell Blvd, Portland, OR, 97202-3371

Phone Number

503-234-9591

Fax Number

Provider Enumeration Date

06/03/2007

Last Update Date

03/09/2024

Address

3415 Se Powell Blvd

City

Portland

State

Oregon

Zip

97202-3371

Phone Number

503-234-9591

Fax Number

Address

3415 Se Powell Blvd

City

Portland

State

Oregon

Zip

97202-3371

Phone Number

503-234-9591

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

()

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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