Jeremy J Archibald, MH INTERN
Counselor, Mental Health in Salem, Oregon
1013289578- Practice location
- 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266
- Phone
- 503-588-5352
- Fax
- —
- Last updated
- June 9, 2022
Jeremy J Archibald, MH INTERN is a Counselor, Mental Health based in Salem, OR. Jeremy J Archibald, MH INTERN holds the professional credentials of MH INTERN. The NPI number for Jeremy J Archibald, MH INTERN is 1013289578. The current practice location address is 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266 and the office can be reached by phone at 503-588-5352. The NPI was assigned on January 31, 2012 and the record was last updated in NPPES on June 9, 2022.
●Provider Profile Details
- NPI Number
- 1013289578
- Provider Name
- Jeremy John Archibald
- Credential
- MH INTERN
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Enumeration Date
- January 31, 2012
- Last Update Date
- June 9, 2022
- Certification Date
- June 9, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3867 Wolverine St NE Bldg F
Salem, OR 97305-4266 - City
- Salem
- State
- Oregon
- ZIP
- 97305-4266
- Country
- US
- Phone Number
- 503-588-5352
✉Business Mailing Address
- Address
- 3867 Wolverine St NE Bldg F
Salem, OR 97305-4266 - City
- Salem
- State
- OR
- ZIP
- 97305-4266
- Phone Number
- 503-588-5352
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | — | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Jeremy J Archibald, MH INTERN?
The NPI number of Jeremy J Archibald, MH INTERN is 1013289578. It was assigned on January 31, 2012 and is currently active in the NPPES registry.
What is the specialty of Jeremy J Archibald, MH INTERN?
Jeremy J Archibald, MH INTERN is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jeremy J Archibald, MH INTERN practice?
The practice location is 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266. The office can be reached at 503-588-5352 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013289578 directly on the NPPES registry website at npiregistry.cms.hhs.gov.