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1720415425
JENNIFER EILEEN MOORE
PORTLAND, OR
NPI
1720415425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-26
Last Update Date
2014-06-27
Business Address
-- JENNIFER EILEEN MOORE QHMP, MA, LPCintern
610 SW ALDER ST SUITE 1100
PORTLAND, OR 97205-3625
Phone number: 503-597-8751
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Mailing Address
-- JENNIFER EILEEN MOORE QHMP, MA, LPCintern
19636 NW SUNDERLAND DR
HILLSBORO, OR 97124-9053
Phone number: 312-513-7083
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