person
Jerry Lee Edin, MS
Mental Health Counselor in Springfield, Oregon
NPI 1851474381

Jerry Lee Edin is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Jerry Lee Edin practices in Springfield, OR and has the professional credentials of MS. The NPI Number for Jerry Lee Edin is 1851474381 and holds a License No. C0250 (Oregon).

The current practice location address for Jerry Lee Edin is 525 S 57Th Pl, Springfield, OR and can be reached out via phone at 541-746-2333.

Location: 525 S 57Th Pl, Springfield, OR, 97478-5410
person
Provider Profile Details
NPI Number
1851474381
Provider Name
Jerry Lee Edin
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
525 S 57Th Pl, Springfield, OR, 97478-5410
Phone Number
541-746-2333
Fax Number
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
525 S 57Th Pl
City
State
Zip
97478-5410
Phone Number
541-746-2333
Fax Number
person
Provider Business Mailing Address Details
Address
525 S 57Th Pl
City
State
Zip
97478-5410
Phone Number
541-746-2333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C0250 (Oregon)
Definition
Definition to come...
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