Individual
JESSICA CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
(503) 988-4888
Mailing address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
04/02/2008
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