JACKSON WILSHIRE

GRESHAM, OR
NPI1609273168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-11-28
Last Update Date2014-11-28
Business Address
-- JACKSON WILSHIRE M.A., LPC-Int
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
Mailing Address
-- JACKSON WILSHIRE M.A., LPC-Int
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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