Jessie Kullberg, LCSW
NPI #1396010286 in North Bend, Oregon
Provider Information
- NPI Number
- 1396010286
- Entity Type
- Individual
- Name
- Jessie Kullberg, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Jul 26, 2013
Practice Location
- Address
- 1944 SHERMAN AVE STE 201
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-3478
- Phone
- (541) 260-6098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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