Individual
JESSIE WEISSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1225 N EMERSON ST, PORTLAND, OR 97217-3713
(347) 204-5637
Mailing address
1225 N EMERSON ST, PORTLAND, OR 97217-3713
(347) 204-5637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
082354-1
NY
1041C0700X
Clinical Social Worker
Primary
L6848
OR
Other
Enumeration date
12/22/2010
Last updated
03/07/2023
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