Individual provider · Type 1 NPI

Jesse Michael Nussbaum, BA

Counselor · Grants Pass, OR

NPI number 1780950691 Active

Practice location

1750 Nebraska Ave Bldg B
Grants Pass, OR 97527-5700

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Other practice locations

  • 715 SW Ramsey Ave, Grants Pass, OR 97527-5500 · (541) 476-3302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780950691

Jesse Michael Nussbaum, BA's National Provider Identifier is 1780950691, issued on Mar 25, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grants Pass, OR. The record was last updated on Mar 24, 2018.