Individual provider · Type 1 NPI

Jesse Kaula Eriksen

Mental Health Counselor · Jasper, OR

NPI number 1831842103 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Mailing address

89124 Marcola Rd
Springfield, OR 97478-8780

Other practice locations

  • 89124 Marcola Rd, Springfield, OR 97478-8780 · (541) 541-1235

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831842103

Jesse Kaula Eriksen's National Provider Identifier is 1831842103, issued on Jan 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Jan 27, 2022.