Jessica Rist

NPI #1104519263 in Keizer, Oregon

Provider Information

NPI Number: 1104519263
Entity Type: Individual
Name: Jessica Rist
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - School
Enumeration Date: Jun 2, 2023
Last Updated: Jun 2, 2023

Practice Location

Address: 595 CHEMAWA RD N
City: Keizer
State: Oregon
ZIP Code: 97303-5300
Phone: (503) 399-3147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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