Jerry Keith Counseling LLC

NPI #1992408157 in Clackamas, Oregon

Provider Information

NPI Number: 1992408157
Entity Type: Organization
Organization Name: Jerry Keith Counseling LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 24, 2023
Last Updated: Mar 24, 2023

Practice Location

Address: 14448 SE BRIDGETON ST
City: Clackamas
State: Oregon
ZIP Code: 97015-6270
Phone: (541) 399-2729

Authorized Official

Name: JERRY LEE KEITH
Title: OWNER
Phone: (541) 399-2729

Specialties & Taxonomy Codes

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

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