Jennifer Acosta

NPI #1073979613 in Salem, Oregon

Provider Information

NPI Number: 1073979613
Entity Type: Individual
Name: Jennifer Acosta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 12, 2016
Last Updated: Jan 12, 2016

Practice Location

Address: 2645 PORTLAND RD NE
Address 2: #120
City: Salem
State: Oregon
ZIP Code: 97301-0198
Phone: (503) 390-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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