Individual
JANESSA JAVEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2006
(971) 293-9237
Mailing address
5316 E BURNSIDE ST APT 9, PORTLAND, OR 97215-1279
(971) 258-0337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
253J00000X
OR
Other
Enumeration date
12/29/2021
Last updated
02/04/2026
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