Individual provider · Type 1 NPI

Shane Seth Jennings

Mental Health Counselor · Eugene, OR

NPI number 1790809945 Active

Practice location

1790 W 11th Ave Ste 290
Eugene, OR 97402-3759

Call (541) 686-1262 Map

Mailing address

21453 Highway 126
Noti, OR 97461-9729

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790809945

Shane Seth Jennings's National Provider Identifier is 1790809945, issued on Mar 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.