Individual
MS. JESSICA ANNE GRIESINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
12/01/2010
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