Jennifer Nicole Petty
Jennifer Nicole Petty is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
621 SW Alder St Ste 520Portland, OR 97205-3620
Phone: (503) 418-5311
Fax: (503) 494-4747
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OR) |
|---|
Record details
| NPI number | 1396480893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2022 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
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