Individual
MS. JESSIE L DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 997-7910
Mailing address
4506 SE HARRISON ST., MILWAUKIE, OR 97222-5272
(503) 997-7910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1496
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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