SHANIQUA JETER

PORTLAND, OR
NPI1720814254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R10431)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: TX  88443)
Enumeration Date2024-09-11
Last Update Date2025-01-03
Business Address
SHANIQUA JETER
5441 S MACADAM AVE STE A
PORTLAND, OR 97239-6106
Phone number: 903-742-6528
Mailing Address
SHANIQUA JETER
5441 S MACADAM AVE STE A
PORTLAND, OR 97239-6106
Phone number: 903-742-6528