Individual provider · Type 1 NPI

Mary Jake

Mental Health Counselor · Mcminnville, OR

NPI number 1043349871 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Call (503) 434-7523 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043349871

Mary Jake's National Provider Identifier is 1043349871, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Jul 8, 2007.