Individual
MS. EMILY REBECCA JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., Q.M.H.P.
Contact information
Practice address
117 N 29TH AVE, CORNELIUS, OR 97113-8517
(503) 597-3968
Mailing address
117 N 29TH AVE, CORNELIUS, OR 97113-8517
(503) 597-3968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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