Individual
JENNIFER VINTON-VANARSDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 NE ROBERTS AVE STE 100, GRESHAM, OR 97030-7483
(971) 284-9529
Mailing address
510 NE ROBERTS AVE STE 100, GRESHAM, OR 97030-7483
(971) 284-9529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
06/26/2019
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