Individual provider · Type 1 NPI

Jessie Lane Small

Mental Health Counselor · Eugene, OR

NPI number 1376987230 Active

Practice location

345 Ruby Ave.
Eugene, OR 97401

Call (541) 956-4943 Map

Fax (541) 295-3085

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376987230

Jessie Lane Small's National Provider Identifier is 1376987230, issued on Apr 23, 2013. 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 23, 2013.