Jill Denise Henion, MMFT | |
880 82nd Dr, Gladstone, OR 97027-1803 | |
(503) 659-5515 | |
(503) 233-2694 |
Full Name | Jill Denise Henion |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 880 82nd Dr, Gladstone, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982185500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Psychological Services Connection Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275260465 PECOS PAC ID: 7416317789 Enrollment ID: O20230718002835 |
Mailing Address | Practice Location Address |
---|---|
Jill Denise Henion, MMFT 17336 Se 82nd Dr, Clackamas, OR 97015-9516 Ph: (503) 387-9674 | Jill Denise Henion, MMFT 880 82nd Dr, Gladstone, OR 97027-1803 Ph: (503) 659-5515 |
Jennifer Lynn Pitt, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 890 82nd Dr, Gladstone, OR 97027 Phone: 503-233-5405 | |
Ryan Michael Wilcox, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 880 82nd Dr, Gladstone, OR 97027 Phone: 503-659-5515 | |
Traci Goodrich, REGISTERED ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Lifestance Health, 880 82nd Drive, Gladstone, OR 97027 Phone: 503-659-5515 | |
Jennifer Michelle Roholt, Couples Therapy Medicare: Medicare Enrolled Practice Location: 18911 Portland Ave, Gladstone, OR 97027 Phone: 503-556-8471 Fax: 503-722-6810 |