Individual provider · Type 1 NPI

Jacob Foote

Mental Health Counselor · Eugene, OR

NPI number 1891240305 Active

Practice location

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988

Call (458) 210-2984 Map

Fax (458) 210-2985

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891240305

Jacob Foote's National Provider Identifier is 1891240305, issued on Aug 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Aug 25, 2016.