Individual
JILL CORVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC, CGAC
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
328 KENWOOD RD, LAKE OSWEGO, OR 97034-3832
(503) 708-8082
(503) 893-3062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4506
OR
Other
Enumeration date
01/08/2014
Last updated
04/03/2018
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