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Mckenna Rose Jaques
Mental Health Counselor in Mcminnville, Oregon
NPI 1396282174

Mckenna Rose Jaques is a Mental Health Counselor based in Mcminnville, OR and is specialized in Mental Health. Mckenna Rose Jaques practices in Mcminnville, OR. The NPI Number for Mckenna Rose Jaques is 1396282174 and holds a License No. (Oregon).

The current practice location address for Mckenna Rose Jaques is 1525 Sw Shirley Ann Dr, Mcminnville, OR and can be reached out via phone at 503-472-4055.

Location: 1525 Sw Shirley Ann Dr, Mcminnville, OR, 97128-7665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396282174
Provider Name
Mckenna Rose Jaques
Credential
Provider Entity Type
Individual
Gender
Female
Address
1525 Sw Shirley Ann Dr, Mcminnville, OR, 97128-7665
Phone Number
503-472-4055
Fax Number
Provider Enumeration Date
01/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1525 Sw Shirley Ann Dr
City
Mcminnville
State
Oregon
Zip
97128-7665
Phone Number
503-472-4055
Fax Number
person
Provider Business Mailing Address Details
Address
1525 Sw Shirley Ann Dr
City
Mcminnville
State
Oregon
Zip
97128-7665
Phone Number
503-472-4055
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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