Individual
JESSICA MARIE ATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
1020 SW TAYLOR ST STE 535, PORTLAND, OR 97205-2527
(503) 841-7211
Mailing address
1020 SW TAYLOR ST STE 535, PORTLAND, OR 97205-2527
(503) 841-7211
(503) 841-7211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6915
OR
Other
Enumeration date
06/05/2024
Last updated
06/24/2024
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