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Jace Everett Decker
Mental Health Counselor in Coburg, Oregon
NPI 1427518679

Jace Everett Decker is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Jace Everett Decker practices in Coburg, OR. The NPI Number for Jace Everett Decker is 1427518679 and holds a License No. R5281 (Oregon).

The current practice location address for Jace Everett Decker is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-284-5704.

Location: 1 Serenity Ln, Coburg, OR, 97401-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427518679
Provider Name
Jace Everett Decker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97401-2019
Phone Number
541-284-5704
Fax Number
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-284-5704
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-284-5704
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R5281 (Oregon)
Definition
Definition to come...
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