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Ms. Lisa Marie Jennings, MSW,QMHP,CSWA,CADC
Addiction (Substance Use Disorder) Counselor in Winston, Oregon
NPI 1881052876

Lisa Marie Jennings is an Addiction (Substance Use Disorder) Counselor based in Winston, OR and is specialized in Addiction (Substance Use Disorder). Lisa Marie Jennings practices in Winston, OR and has the professional credentials of MSW,QMHP,CSWA,CADC. The NPI Number for Lisa Marie Jennings is 1881052876 and holds a License No. 15-02-24 (Oregon).

The current practice location address for Lisa Marie Jennings is 11 Sw Brantley Dr, Winston, OR and can be reached out via phone at 541-679-0366 and via fax at 541-679-4821. You can also correspond with Lisa Marie Jennings through the mailing address at 11 SW BRANTLEY DR, WINSTON, OR - 97496-4526 (mailing address contact number: 541-679-0366).

Location: 11 Sw Brantley Dr, Winston, OR, 97496-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881052876
Provider Name
Lisa Marie Jennings
Credential
MSW,QMHP,CSWA,CADC
Provider Entity Type
Individual
Gender
Female
Address
11 Sw Brantley Dr, Winston, OR, 97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
Provider Enumeration Date
02/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider Business Mailing Address Details
Address
11 Sw Brantley Dr
City
Winston
State
Oregon
Zip
97496-4526
Phone Number
541-679-0366
Fax Number
541-679-4821
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15-02-24 (Oregon)
Definition
Definition to come...
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