Individual
MS. JENNIFER MARGARET DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA, CADC I, QMHP
Contact information
Practice address
1321 SW WASHINGTON ST, PORTLAND, OR 97205-2328
(503) 535-1171
Mailing address
1321 SW WASHINGTON ST, PORTLAND, OR 97205-2328
(503) 535-1171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/11/2016
Last updated
03/16/2016
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