Individual
MR. DARNELL JACKIE STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED CLINICAL
Contact information
Practice address
435 NE 78TH AVE 'STRONG COUNSELING SERVICES', PORTLAND, OR 97213
(503) 309-2460
(503) 477-7497
Mailing address
83 NE HOLMAN, PORTLAND, OR 97211
(503) 309-2460
(503) 477-7497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L3548
OR
104100000X
Social Worker
LW00007813
WA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517507
—
OR
Enumeration date
06/23/2020
Last updated
06/23/2020
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