Individual
MS. JESSICA E. SCHURTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
526 NW 21ST AVE, PORTLAND, OR 97209-1157
(503) 737-4276
Mailing address
526 NW 21ST AVE, PORTLAND, OR 97209-1157
(503) 737-4276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC I
OR
101YM0800X
Mental Health Counselor
C2509
OR
101YP2500X
Professional Counselor
Primary
C2509
OR
Other
Enumeration date
02/05/2007
Last updated
03/09/2011
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