| Jodi Lietz Counseling, Llc | |
|
1020 Sw Taylor St Suite 557 Portland OR 97205-2543 | |
| (503) 710-9099 | |
| Not Available |
| Full Name | Jodi Lietz Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1020 Sw Taylor St, Portland, Oregon |
| Authorized Official Name and Position | Jodi Marie Lietz (COUNSELOR) |
| Authorized Official Contact | 3606081010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Lietz Counseling, Llc 1500 Sw 11th Ave Unit 2701 Portland OR 97201-3532 Ph: (360) 608-1010 | Jodi Lietz Counseling, Llc 1020 Sw Taylor St Suite 557 Portland OR 97205-2543 Ph: (503) 710-9099 |
| NPI Number | 1780053868 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780053868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R3860 (Oregon) | Primary |
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