Individual
JILL J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10180 SE SUNNYSIDE RD, MENTAL HEALTH DEPARTMENT, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
2985 SW CHRISTY AVE, BEAVERTON, OR 97005-1520
(503) 643-4867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2729
OR
104100000X
Social Worker
Primary
L2729
OR
Other
Enumeration date
08/21/2008
Last updated
02/28/2025
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