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

Michael David Jolliffe, LPCINTERN

Individual provider Mental Health Counselor · NPI 1326631060

Michael David Jolliffe, LPCINTERN is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021

Practice location Address checks out

3642 SE 33rd Ave
Portland, OR 97202-3488
Phone: (650) 773-9674
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 R6399 (OR)

Record details

NPI number1326631060
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCINTERN
Sole proprietorYes
NPI enumeratedFebruary 13, 2021
Last updated in NPPESFebruary 13, 2021
Certification dateFebruary 13, 2021

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