Individual
MRS. JESSICA TOLLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
610 SW ALDER ST, SUITE 1100, PORTLAND, OR 97205-3625
(503) 714-5814
Mailing address
610 SW ALDER ST, SUITE 1100, PORTLAND, OR 97205-3625
(503) 714-5814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4194
OR
Other
Enumeration date
06/30/2014
Last updated
07/07/2016
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