Individual
JANESSA JAVEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
253J00000X
OR
101YM0800X
Mental Health Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
253J00000X
OR
Other
Enumeration date
12/29/2021
Last updated
07/20/2026
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