Individual
JAIMI N WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128-3933
(503) 434-7523
Mailing address
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128-3933
(503) 434-7523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1665
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-1665
WY
101YM0800X
Mental Health Counselor
LPC-1665
WY
101YP2500X
Professional Counselor
Primary
LPC-1665
WY
Other
Enumeration date
02/18/2015
Last updated
04/29/2026
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