Individual
MRS. JEANETTE EMILY PARSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
852 SW 21ST AVE, PORTLAND, OR 97205-1604
(503) 840-0065
Mailing address
12015 SW FAIRCREST ST, PORTLAND, OR 97225-4617
(503) 840-0065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0018
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0018
LICENSED PROFESSIONAL COUNSELOR
OR
Enumeration date
06/17/2008
Last updated
06/17/2008
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