JENNIFER GOMOLL DAUGHERTY LPC LMHC NPI 1558498428

NPI Information

NPI: 1558498428
Provider Name: JENNIFER GOMOLL DAUGHERTY, LPC, LMHC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3519 NE 15TH
SUITE 547
PORTLAND, OR
ZIP 97212
Phone: (503) 750-7436
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Jennifer Gomoll Daugherty, LPC, LMHC is a professional counselor in Portland, OR. Jennifer Gomoll Daugherty, LPC, LMHC NPI is 1558498428. 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:

3519 NE 15TH
SUITE 547
PORTLAND, OR
ZIP 97212
Phone: (503) 750-7436
Fax: (503) 926-9182

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/20/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	60638897	WASHINGTON	No
2	101YP2500X	Counselor	Professional	C1929	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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