Jake Bennett, QMHA

NPI #1982033676 in Oregon City, Oregon

Provider Information

NPI Number: 1982033676
Entity Type: Individual
Name: Jake Bennett, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: QMHA
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 1002 LIBRARY CT
City: Oregon City
State: Oregon
ZIP Code: 97045-4066
Phone: (503) 655-8264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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