MRS. ROCHELLE JEANESS LAKE MA QMHP NPI 1093854978

NPI Information

MRS. Rochelle Jeaness Lake, MA, QMHP is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Rochelle Jeaness Lake, MA, QMHP NPI is 1093854978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1312 SW WASHINGTON ST
PORTLAND, OR
ZIP 97208-007
Phone: (503) 535-1150
Fax: (503) 535-1191

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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