CELESS JOLLYMORE

PORTLAND, OR
NPI1083006050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-02-26
Last Update Date2015-02-26
Business Address
-- CELESS JOLLYMORE
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
Mailing Address
-- CELESS JOLLYMORE
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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