BLKJADE. MENTAL WELLNESS, LLC.

PORTLAND, OR
NPI1285418517
Entity TypeOrganization
Authorized ContactROXANNE SHEENA CAPPARELLI
Owner / Sole Member
503-208-8258
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies251S00000X 
Enumeration Date2023-08-18
Last Update Date2023-10-05
Business Address
BLKJADE. MENTAL WELLNESS, LLC.
2926 NE FLANDERS ST # 3A
PORTLAND, OR 97232-3259
Phone number: 503-208-8258
Mailing Address
BLKJADE. MENTAL WELLNESS, LLC.
3519 NE 15TH AVE # 294
PORTLAND, OR 97212-2356
Phone number: 503-208-8258