JACKIE WEASEL
Counselor - Mental Health
Active
Individual
NPI: 1912705955
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1912705955 is the National Provider Identifier for JACKIE WEASEL, a Counselor - Mental Health provider located in Salem, OR. This NPI was enumerated on March 5, 2025.
JACKIE WEASEL practices at 4385 SUNNYVIEW RD NE, Salem, OR 97305.
Quick Facts
- NPI
- 1912705955
- Type
- Individual
- Enumerated
- Mar 5, 2025
- Last Updated
- Mar 5, 2025
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