Individual provider · Type 1 NPI

Samantha Renee Jernstrom

Mental Health Counselor · Eugene, OR

NPI number 1083232573 Active

Practice location

132 E Broadway Ste 431
Eugene, OR 97401-3158

Call (541) 390-4559 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice locations

  • 621 W Madrone St, Roseburg, OR 97470-3090 · (541) 672-2691

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083232573

Samantha Renee Jernstrom's National Provider Identifier is 1083232573, issued on Jul 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Apr 30, 2025.