Provider Demographics
NPI:1083916746
Name:GIORDANO, JENNIFER CHRISTINE (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:CHRISTINE
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17879 PETER SKENE WAY
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2847
Mailing Address - Country:US
Mailing Address - Phone:503-956-9739
Mailing Address - Fax:
Practice Address - Street 1:10810 SE HIGHWAY 212
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9165
Practice Address - Country:US
Practice Address - Phone:503-655-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor