person
Mr. Corey Jai Jackson, MA
Professional Counselor in Eugene, Oregon
NPI 1194866707

Corey Jai Jackson is a Professional Counselor based in Eugene, OR and is specialized in Professional. Corey Jai Jackson practices in Eugene, OR and has the professional credentials of MA. The NPI Number for Corey Jai Jackson is 1194866707 and holds a License No. C4737 (Oregon).

The current practice location address for Corey Jai Jackson is 921 Country Club Rd Ste 222, Eugene, OR and can be reached out via phone at 541-686-6000. You can also correspond with Corey Jai Jackson through the mailing address at 921 COUNTRY CLUB RD STE 222, EUGENE, OR - 97401-2238 (mailing address contact number: 541-686-6000).

Location: 921 Country Club Rd Ste 222, Eugene, OR, 97401-2238
person
Provider Profile Details
NPI Number
1194866707
Provider Name
Corey Jai Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
921 Country Club Rd Ste 222, Eugene, OR, 97401-2238
Phone Number
541-686-6000
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
921 Country Club Rd Ste 222
City
State
Zip
97401-2238
Phone Number
541-686-6000
Fax Number
person
Provider Business Mailing Address Details
Address
921 Country Club Rd Ste 222
City
State
Zip
97401-2238
Phone Number
541-686-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C4737 (Oregon)
Definition
Definition to come...
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