Carrell, Jenna Lee

Carrell, Jenna Lee is an individual health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1996. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carrell, Jenna Lee can be contacted via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1996
Phone: (503) 623-9289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000003374 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144895012
LBN Legal business name Carrell, Jenna Lee
Credentials PSS, THW, CRM
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated May 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers