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Organization

VICTOR COUNSELING AND CONSULTATION

Active
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Organization

VICTOR COUNSELING AND CONSULTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR BOOMER-JENKS LCSW (OWNER)
(971) 940-0387
Entity
Organization

Contact information

Practice address
888 SE 9TH AVE APT 420, PORTLAND, OR 97214-2250
(971) 940-0387
Mailing address
888 SE 9TH AVE APT 420, PORTLAND, OR 97214-2250
(971) 940-0387

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—

Other

Enumeration date
10/28/2024
Last updated
11/11/2024
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