Individual
JESSICA CECILIA CROMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9289
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
06/26/2026
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