Individual provider · Type 1 NPI

Jamie L. Kincheloe, QMHP

Mental Health Counselor · Coburg, OR

NPI number 1649940610 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Other practice locations

  • 1040 Oak St, Eugene, OR 97401-3132 · (541) 342-6987

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649940610

Jamie L. Kincheloe, QMHP's National Provider Identifier is 1649940610, issued on Sep 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coburg, OR. The record was last updated on Aug 8, 2022.