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Miss Jennifer Christina Lisk, BSW;CADC-R
Counselor in Coburg, Oregon
NPI 1598262446

Jennifer Christina Lisk is a Counselor based in Coburg, OR. Jennifer Christina Lisk practices in Coburg, OR and has the professional credentials of BSW;CADC-R. The NPI Number for Jennifer Christina Lisk is 1598262446 and holds a License No. (Oregon).

The current practice location address for Jennifer Christina Lisk is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-204-2704. You can also correspond with Jennifer Christina Lisk through the mailing address at 1 SERENITY LN, COBURG, OR - 97408-9350 (mailing address contact number: ).

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598262446
Provider Name
Jennifer Christina Lisk
Credential
BSW;CADC-R
Provider Entity Type
Individual
Gender
Female
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-204-2704
Fax Number
Provider Enumeration Date
04/08/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-204-2704
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-204-2704
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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