Jack R Agen, MA
Jack R Agen, MA is a Mental Health Counselor in Gladstone, Oregon. Qualified in 1993, 33 years ago. Licensed in Oregon.
- Years since qualifying
- 33
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MA — Master of Arts
- A graduate arts degree.
Practice location Address checks out
880 82nd DrGladstone, OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 659-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence C1077 (OR) |
|---|
Record details
| NPI number | 1902960362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA |
| Sole proprietor | No |
| NPI enumerated | December 20, 2006 |
| Last updated in NPPES | July 9, 2007 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Gladstone
-
Mikaylee Dato, MA
880 82nd Dr, Gladstone, OR 97027-1803 · (503) 659-5515
-
Mrs. Heidi Michelle Feigenbaum, LPCAAC
880 SE 82nd Dr, Gladstone, OR 97027-1803 · (503) 659-5515
-
Gennady Fortuna
880 82nd Dr, Gladstone, OR 97027-1803 · (503) 856-4798
-
David Frazee, MA, LPC
890 82nd Dr, Gladstone, OR 97027-1803 · (503) 659-5515