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Mehiska Mae Jackson
Mental Health Counselor in Tigard, Oregon
NPI 1982365011

Mehiska Mae Jackson is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Mehiska Mae Jackson practices in Tigard, OR. The NPI Number for Mehiska Mae Jackson is 1982365011 and holds a License No. (Oregon).

The current practice location address for Mehiska Mae Jackson is 8915 Sw Center St, Tigard, OR and can be reached out via phone at 503-726-3740.

Location: 8915 Sw Center St, Tigard, OR, 97223-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982365011
Provider Name
Mehiska Mae Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8915 Sw Center St, Tigard, OR, 97223-6307
Phone Number
503-726-3740
Fax Number
Provider Enumeration Date
12/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3740
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3740
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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