Individual
MS. JESSICA NHI TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE STE 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
912 NE KELLY AVE STE 100C, GRESHAM, OR 97030-5629
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/13/2021
Last updated
06/06/2024
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