MISS Jessie Lane Small

NPI #1376987230 in Eugene, Oregon

Provider Information

NPI Number
1376987230
Entity Type
Individual
Name
MISS Jessie Lane Small
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Apr 23, 2013
Last Updated
Apr 23, 2013

Practice Location

Address
345 RUBY AVE.
City
Eugene
State
Oregon
ZIP Code
97401
Phone
(541) 956-4943

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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