# JACKIE PARIS I

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861637100
- **Gender:** F
- **Credential:** MA, LMFT, RDT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | T058 | OR | — |
| 106H00000X | Marriage & Family Therapist | T058 | OR | Yes |

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 12/15/2008