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Jacqualyn Rae Andrews, LPC
Mental Health Counselor in Cottage Grove, Oregon
NPI 1801407259

Jacqualyn Rae Andrews is a Mental Health Counselor based in Eugene, OR and is specialized in Mental Health. Jacqualyn Rae Andrews practices in Cottage Grove, OR and has the professional credentials of LPC. The NPI Number for Jacqualyn Rae Andrews is 1801407259 and holds a License No. C5956 (Oregon).

The current practice location address for Jacqualyn Rae Andrews is 210 S 5Th St, Cottage Grove, OR and can be reached out via phone at 541-255-1411 and via fax at 541-255-1412.

Location: 210 S 5Th St, Cottage Grove, OR, 97401-4593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801407259
Provider Name
Jacqualyn Rae Andrews
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
210 S 5Th St, Cottage Grove, OR, 97401-4593
Phone Number
541-255-1411
Fax Number
541-255-1412
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500787676 05 OR
institution
Provider Business Practice Location Address Details
Address
210 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2105
Phone Number
541-255-1411
Fax Number
541-255-1412
person
Provider Business Mailing Address Details
Address
210 S 5Th St
City
Cottage Grove
State
Oregon
Zip
97424-2105
Phone Number
541-255-1411
Fax Number
541-255-1412
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C5956 (Oregon)
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
Mental Health
Taxonomy
101YM0800X
License No.
C5956 (Oregon)
Definition
Definition to come...
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