Jacob Kendall Crumley
Jacob Kendall Crumley is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2600 SE Belmont StPortland, OR 97214-2916
Phone: (985) 324-0464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (OR) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1134838683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2022 |
| Last updated in NPPES | May 25, 2023 |
| Certification date | May 25, 2023 |
| Mailing address | 2600 Se Belmont St, Portland, OR 97214-2916 |
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