Organization
A LITTLE LIGHT COLLECTIVE, LLC
Active
Other names
Jordan Dobrovolny LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MAE DOBROVOLNY LCSW (MEMBER)
(503) 994-6702
Entity
Organization
Contact information
Practice address
4605 NE FREMONT ST STE 210F, PORTLAND, OR 97213-1707
(503) 994-6702
Mailing address
1717 NE 42ND AVE STE 3200, PORTLAND, OR 97213-1572
(503) 994-6702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
06/03/2025
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