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Individual

MS. JENNIFER LEE PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APCC

Contact information

Practice address
6443 NE 33RD AVE UNIT B, PORTLAND, OR 97211-7225
(909) 262-5524
Mailing address
6443 NE 33RD AVE UNIT B, PORTLAND, OR 97211-7225
(909) 262-5524

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14035
CA
101YP2500X
Professional Counselor
Primary
21316
CA

Other

Enumeration date
06/15/2023
Last updated
06/08/2026
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