Organization Name: | JORDANA KRUEGER-TOSCHER, LCSW, LLC |
NPI Number: | 1043668262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORDANA KRUEGER-TOSCHER (OWNER) |
Mailing Address: | 320 N Main Ave Ste 201b Gresham |
State: | OR US |
Postal Code: | 970307242 |
Phone Number: | 9712700741 |
Fax Number: | 7572577460 |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | L6607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |