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Jean Michelle Stonebraker, QMHA-I
Mental Health Counselor in Portland, Oregon
NPI 1962067470

Jean Michelle Stonebraker is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jean Michelle Stonebraker practices in Portland, OR and has the professional credentials of QMHA-I. The NPI Number for Jean Michelle Stonebraker is 1962067470 and holds a License No. 19-QMHA-I-02189 (Oregon).

The current practice location address for Jean Michelle Stonebraker is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1962067470
Provider Name
Jean Michelle Stonebraker
Credential
QMHA-I
Provider Entity Type
Individual
Gender
Female
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500763103 05 OR
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
19-QMHA-I-02189 (Oregon)
Definition
Definition to come...
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