JACKIE WHITLEY

PORTLAND, OR
NPI1164384509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-11-24
Last Update Date2025-11-24
Business Address
JACKIE WHITLEY
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-719-7985
Mailing Address
JACKIE WHITLEY
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-719-7985
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