Individual provider · Type 1 NPI

McKenna Rose Jaques

Mental Health Counselor · Mcminnville, OR

NPI number 1396282174 Active

Practice location

1525 SW Shirley Ann Dr
Mcminnville, OR 97128-7665

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396282174

McKenna Rose Jaques's National Provider Identifier is 1396282174, issued on Jan 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Jan 31, 2017.