Individual
JENNIFER CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(916) 609-5153
Mailing address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 222-0707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CCMH0199811
NM
101YP2500X
Professional Counselor
LH60960679
WA
103T00000X
Psychologist
Primary
3808
OR
Other
Enumeration date
05/10/2019
Last updated
09/30/2024
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