JACK KEENAN
NPI 1649641812
Counselor - Mental Health in Portland, OR
- Individual
- Male
- Counselor
- Mental Health
About JACK KEENAN
This page provides the complete NPI Profile along with additional information for Jack Keenan, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1649641812 assigned on October 2015. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1649641812 Verify this NPI
- Provider Name
- JACK KEENAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236
- Location Phone
- (503) 719-4535
- Location Fax
- (503) 719-4537
- Mailing Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Mailing Phone
- (347) 406-2922
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-14-2015
- Last Update Date
- 02-18-2016
- Code Navigator
A mental health counselor like Jack Keenan provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
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The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649641812, enumerated as an "individual" on October 14, 2015.
The provider is located at 3530 SE 136TH AVE APT 5 PORTLAND, OR 97236 and the phone number is (503) 719-4535.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
