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Individual

ADRIENNE JEANNERAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
4211 SE CARLTON ST, PORTLAND, OR 97206-7048
(412) 527-9999
Mailing address
4211 SE CARLTON ST, PORTLAND, OR 97206-7048
(412) 527-9999

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7816
OR

Other

Enumeration date
05/01/2017
Last updated
08/15/2023
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