Individual
JACQUELINE NOVET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
PO BOX 6073, BEAVERTON, OR 97007-0073
(971) 563-2163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L5161
OR
Other
Enumeration date
02/27/2007
Last updated
06/09/2014
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