Provider Demographics
NPI:1982185500
Name:HENION, JILL DENISE (LMFT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:DENISE
Last Name:HENION
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:DENISE
Other - Last Name:BEAULIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7969 SE BRENTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-3471
Mailing Address - Country:US
Mailing Address - Phone:503-387-9674
Mailing Address - Fax:503-462-7072
Practice Address - Street 1:205 SE SPOKANE ST STE 321
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6487
Practice Address - Country:US
Practice Address - Phone:503-462-7071
Practice Address - Fax:503-462-7072
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT2192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist