Organization
JUBILEE HOLISTIC COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJA RILEY BENNETT MSW, LCSW (MANAGING MEMBER)
(503) 330-7308
Entity
Organization
Contact information
Practice address
15270 SW MALLARD DR STE 101, BEAVERTON, OR 97007-9432
(503) 330-7308
Mailing address
15270 SW MALLARD DR STE 101, BEAVERTON, OR 97007-9432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/24/2022
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