Individual
ALEXA JENKINS WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(971) 378-0367
(503) 974-9679
Mailing address
880 82ND DR, GLADSTONE, OR 97027-1803
(971) 378-0367
(503) 974-9679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C9259
OR
Other
Enumeration date
04/16/2020
Last updated
02/13/2026
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