Anthony B Dejack, MS

NPI #1023281201 in Ashland, Oregon

Provider Information

NPI Number
1023281201
Entity Type
Individual
Name
Anthony B Dejack, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MS
Enumeration Date
Apr 8, 2008
Last Updated
Apr 8, 2008

Practice Location

Address
1836 FREMONT ST
State
Oregon
ZIP Code
97520-2537
Phone
(541) 482-5792

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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