Provider Demographics
NPI:1134707078
Name:WESTING, JODIE MICHELLE (LMFT)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:MICHELLE
Last Name:WESTING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10904 SW ROLAND CT
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8533
Mailing Address - Country:US
Mailing Address - Phone:503-539-9026
Mailing Address - Fax:
Practice Address - Street 1:10904 SW ROLAND CT
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8533
Practice Address - Country:US
Practice Address - Phone:503-539-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health