JENNIE B HAGEN

PORTLAND, OR
NPI1134287451
Former NameJENNIE L BARNHART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C3345)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WA  LH60321408)
Enumeration Date2006-12-06
Last Update Date2014-02-20
Business Address
-- JENNIE B HAGEN MA
2705 E BURNSIDE ST SUITE 206
PORTLAND, OR 97214-1763
Phone number: 503-622-9140
Mailing Address
-- JENNIE B HAGEN MA
9120 NE 66TH ST
VANCOUVER, WA 98662-4420
Phone number: 503-622-9140