Jeremie Jay Wharton

NPI #1134554686 in Cottage Grove, Oregon

Provider Information

NPI Number
1134554686
Entity Type
Individual
Name
Jeremie Jay Wharton
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Sep 3, 2013
Last Updated
Sep 3, 2013

Practice Location

Address
1345 BIRCH AVE
State
Oregon
ZIP Code
97424-1416
Phone
(541) 942-3939

Specialties & Taxonomy Codes

Specialty
Counselor

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