person
Ms. Jaclyn Renee Braziel, QMHP
Mental Health Counselor in Dallas, Oregon
NPI 1194950576

Jaclyn Renee Braziel is a Mental Health Counselor based in Dallas, OR and is specialized in Mental Health. Jaclyn Renee Braziel practices in Dallas, OR and has the professional credentials of QMHP. The NPI Number for Jaclyn Renee Braziel is 1194950576 and holds a License No. C4153 (Oregon).

The current practice location address for Jaclyn Renee Braziel is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289. You can also correspond with Jaclyn Renee Braziel through the mailing address at 2205 S CHURCH ST, DALLAS, OR - 97338-9742 (mailing address contact number: 503-930-7349).

Location: 182 Sw Academy St, Dallas, OR, 97338-9742
person
Provider Profile Details
NPI Number
1194950576
Provider Name
Jaclyn Renee Braziel
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-9742
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
05/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4153 (Oregon)
Definition
Definition to come...
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