Individual
JENNIFER WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1960 NW 167TH PL STE 103, BEAVERTON, OR 97006-4805
(503) 276-9000
(503) 276-9005
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2314
OR
101YP2500X
Professional Counselor
C2314
OR
Other
Enumeration date
07/31/2019
Last updated
09/27/2019
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