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Individual

JESSICA LEIGH HALLWYLER MCKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2918
OR
101YP2500X
Professional Counselor
CTB-2022-0881
NM
101YP2500X
Professional Counselor
LH61104107
WA

Other

Enumeration date
09/15/2009
Last updated
06/05/2024
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