Individual
MS. JILLANY NOEL WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
06/07/2016
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