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Jasmine Leigha Tyler

Counselor, Mental Health in Milwaukie, OR. Individual provider (NPI-1).

NPI number1982282273
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1982282273
Entity type
Individual (NPI-1)
Name
Jasmine Leigha Tyler
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2021
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2808 Se Balfour St
Milwaukie, OR 97222-6426

Phone 503-659-2575 · Fax 503-659-5182

Mailing address

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3690

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