Jacqueline Grace Haines
Jacqueline Grace Haines is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
17710 NE Halsey StPortland, OR 97230-6734
Phone: (503) 305-6296
Fax: (503) 387-5279
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1316686264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 31, 2022 |
| Last updated in NPPES | May 12, 2025 |
| Certification date | May 12, 2025 |
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