Individual provider · Type 1 NPI

Jaclyn Renee Braziel, QMHP

Mental Health Counselor · Dallas, OR

NPI number 1194950576 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Mailing address

2205 S Church St
Dallas, OR 97338-9742

Other practice locations

  • 528 Cottage St NE, Salem, OR 97301-3811 · (503) 450-9900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC4153 (OR)

Mental Health Counselor: Definition to come...

192 other providers at this address

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About NPI 1194950576

Jaclyn Renee Braziel, QMHP's National Provider Identifier is 1194950576, issued on May 28, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Feb 21, 2020.