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Jamie L Kincheloe, QMHP
Mental Health Counselor in Coburg, Oregon
NPI 1649940610

Jamie L Kincheloe is a Mental Health Counselor based in Coburg, OR and is specialized in Mental Health. Jamie L Kincheloe practices in Coburg, OR and has the professional credentials of QMHP. The NPI Number for Jamie L Kincheloe is 1649940610 and holds a License No. (Oregon).

The current practice location address for Jamie L Kincheloe is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-284-5718.

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649940610
Provider Name
Jamie L Kincheloe
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-284-5718
Fax Number
Provider Enumeration Date
09/20/2021
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
541-284-5718
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-284-5718
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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