| Jennifer Labrousse Counseling, Llc | |
|
12725 Sw 66th Ave Ste 103 Tigard OR 97223-2547 | |
| (503) 930-6134 | |
| Not Available |
| Full Name | Jennifer Labrousse Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12725 Sw 66th Ave Ste 103, Tigard, Oregon |
| Authorized Official Name and Position | Jennifer Labrousse (OWNER) |
| Authorized Official Contact | 5039306134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Labrousse Counseling, Llc 12725 Sw 66th Ave Ste 103 Tigard OR 97223-2547 Ph: (503) 930-6134 | Jennifer Labrousse Counseling, Llc 12725 Sw 66th Ave Ste 103 Tigard OR 97223-2547 Ph: (503) 930-6134 |
| NPI Number | 1740925528 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740925528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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