Individual provider · Type 1 NPI

Jake Moen

Mental Health Counselor · Ontario, OR

NPI number 1619424488 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619424488

Jake Moen's National Provider Identifier is 1619424488, issued on Sep 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on Sep 8, 2016.