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NPI Code Detail

MEDICARE: JENNIFER POND LPC

MEDICARE: JENNIFER POND LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC6299OR
2101YP2500XProfessional CounselorC6299OR

General Provider Information

NPI Number : 1427558865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER POND LPC
Provider Business Mailing Address
First Line : 609 NE BAKER ST STE 260
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-4950
Country : US
Telephone Number : 971-213-5025
Fax Number :
Provider Business Practice Location Address
First Line : 609 NE BAKER ST STE 260
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-4950
Country : US
Telephone Number : 971-213-5025
Fax Number : 971-228-5431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 06/05/2026

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Directions to “ JENNIFER POND LPC” Practice Location

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