Jennifer Nicole Petty is a mental health counselor in Portland, OR. Jennifer Nicole Petty NPI is 1396480893. 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:
621 SW ALDER ST STE 520
PORTLAND, OR
ZIP 97205-620
Phone: (503) 418-5311
Fax: (503) 494-4747
The enumeration date for this NPI number is 4/29/2022 and was last updated on 4/29/2022.