Individual
MRS. JAVEEN LYNETTE SKOUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
814 NE 87TH AVE, VANCOUVER, WA 98664-1915
(360) 910-1522
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R252
OR
103T00000X
Psychologist
Primary
PY61631633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500798917
—
OR
Enumeration date
09/30/2021
Last updated
04/04/2025
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