Individual
SOFIA JASANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC INTERN
Contact information
Practice address
1061 NE 9TH AVE APT 1329, PORTLAND, OR 97232-3500
(541) 801-3610
Mailing address
1061 NE 9TH AVE APT 1329, PORTLAND, OR 97232-3500
(541) 801-3610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6541
OR
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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