Jack R Agen, MA
NPI #1902960362 in Gladstone, Oregon
Provider Information
- NPI Number
- 1902960362
- Entity Type
- Individual
- Name
- Jack R Agen, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jul 9, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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