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Marie Deshazer Jackson
Mental Health Counselor in Bend, Oregon
NPI 1811317720

Marie Deshazer Jackson is a Mental Health Counselor based in Bend, OR and is specialized in Mental Health. Marie Deshazer Jackson practices in Bend, OR. The NPI Number for Marie Deshazer Jackson is 1811317720 and holds a License No. (Oregon).

The current practice location address for Marie Deshazer Jackson is 70 Sw Century Dr, Bend, OR and can be reached out via phone at 206-486-1027.

Location: 70 Sw Century Dr, Bend, OR, 97702-7638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811317720
Provider Name
Marie Deshazer Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
70 Sw Century Dr, Bend, OR, 97702-7638
Phone Number
206-486-1027
Fax Number
Provider Enumeration Date
04/17/2014
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
70 Sw Century Dr
City
Bend
State
Oregon
Zip
97702-7638
Phone Number
206-486-1027
Fax Number
person
Provider Business Mailing Address Details
Address
70 Sw Century Dr
City
Bend
State
Oregon
Zip
97702-7638
Phone Number
206-486-1027
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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