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Organization
JORY COUNSELING CENTER LLC
Active
Organization
JORY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE NAGLE (OWNER)
(503) 319-8228
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 300, PORTLAND, OR 97214-2400
(503) 319-8228
Mailing address
111 SE ALDER ST, SUITE 300, PORTLAND, OR 97202
(503) 319-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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