Individual provider · Type 1 NPI

Lindsay Nichole Jaques, MA

Professional Counselor · Salem, OR

NPI number 1376745174 Active

Practice location

2478 13th St SE
Salem, OR 97302-2546

Fax (503) 561-2707

Mailing address

15378 SE Park Tree Dr
Clackamas, OR 97015-5428

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1376745174

Lindsay Nichole Jaques, MA's National Provider Identifier is 1376745174, issued on Jun 4, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.