Cheryl Jardine LPC, QMHP

NPI 1033284963 - Counselor - 101YM0800X

NPI Details
NPI 1033284963
Gender Female
Enumeration Date 11/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 NE SEVENTH
GRESHAM OR, 97030, US
Phone (503) 661-5455
Fax
Business Location
5445 SE 91ST AVE
PORTLAND OR, 97266-4603, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Cheryl Jardine LPC, QMHP NPI is 1033284963, taxonomy code is 101YM0800X Cheryl Jardine LPC, QMHP physically located at 400 Ne Seventh, Gresham OR, 97030. NPI Number Cheryl Jardine LPC, QMHP has the Individual type.

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1033284963 NPI number is provided on an as is basis without warranty of any kind. 1033284963 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl Jardine LPC, QMHP are for informational purposes only.