Jordan Taylor Nickel-Dubin, MA

NPI #1184461345 in Portland, Oregon

Provider Information

NPI Number: 1184461345
Entity Type: Individual
Name: Jordan Taylor Nickel-Dubin, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Drama Therapist
Credential: MA
Enumeration Date: Jul 13, 2024
Last Updated: Jul 13, 2024

Practice Location

Address: 811 NW 19TH AVE # 301
City: Portland
State: Oregon
ZIP Code: 97209-1401
Phone: (503) 866-0299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Drama Therapist	101200000X	Primary

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