Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanie Elizabeth Petersen

Individual provider Mental Health Counselor · NPI 1710607528

Jeanie Elizabeth Petersen is a Mental Health Counselor in West Linn, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

2906 Bluegrass Way
West Linn, OR 97068-2309
Phone: (503) 351-5681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence L10678 (OR)

Record details

NPI number1710607528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

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