Provider Demographics
NPI:1558420646
Name:VAN HEE, JOCELYN MICHELLE (MSW)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MICHELLE
Last Name:VAN HEE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E POWELL BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7622
Mailing Address - Country:US
Mailing Address - Phone:503-929-8440
Mailing Address - Fax:503-465-4159
Practice Address - Street 1:123 E POWELL BLVD STE 212
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7622
Practice Address - Country:US
Practice Address - Phone:503-929-8440
Practice Address - Fax:503-465-4159
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health