Individual
DANIELLE ELIZABETH JEDINY-RACIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 988-5464
Mailing address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 988-5464
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC47705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12019176
CAQH
CA
Enumeration date
11/28/2006
Last updated
10/22/2014
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