Individual
KIMBERLY M. JAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
6902 SE LAKE RD STE 202, MILWAUKIE, OR 97267-2148
(503) 652-2810
Mailing address
6902 SE LAKE RD STE 202, MILWAUKIE, OR 97267-2148
(503) 652-2810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3880
OR
Other
Enumeration date
05/15/2014
Last updated
11/28/2016
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