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Organization
JERRY KEITH COUNSELING LLC
Active
Organization
JERRY KEITH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE KEITH (OWNER)
(541) 399-2729
Entity
Organization
Contact information
Practice address
14448 SE BRIDGETON ST, CLACKAMAS, OR 97015-6270
(541) 399-2729
Mailing address
14448 SE BRIDGETON ST, CLACKAMAS, OR 97015-6270
(541) 399-2729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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