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JENNIFER WALLIS, LCSW, CADCIII
LCSW, CADCIII
Clinical Social Worker
NPI: 1821285628Individual
Specialties, Licenses & Credentials
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
12-03-77(OR)
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
L5660(OR)
Contact & Hours
- Address
- 19500 SE STARK ST
PORTLAND, OR 97233 - Phone
- (503) 278-0397
Quick Facts
- NPI
- 1821285628
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 3
- Locations
- 1
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