JESSICA EGAN

PORTLAND, OR
NPI1649051277
Former NameJESSICA EGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2023-10-10
Last Update Date2023-10-10
Business Address
JESSICA EGAN
3311 NE MARTIN LUTHER KING BLVD STE 104
PORTLAND, OR 97212-2086
Phone number: 503-206-8856
Mailing Address
JESSICA EGAN
3311 NE MARTIN LUTHER KING BLVD STE 104
PORTLAND, OR 97212-2086
Phone number: 503-206-8856
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MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC