Individual provider · Type 1 NPI
Jessica Jeanne Eastlick, MA, CMHC, LPC
Professional Counselor · Springfield, OR
NPI number
1982009320
Active
Practice location
5051 Main Street
Springfield, OR 97477-6934
Fax (541) 995-5013
Mailing address
PO Box 133
Veneta, OR 97487-0133
Other practice locations
- PO Box 133, Veneta, OR 97487-0133 · (541) 627-8172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | R5085 (OR) |
| Professional Counselor Primary | 101YP2500X | R5085 (OR) |
Professional Counselor: Definition to come...
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About NPI 1982009320
Jessica Jeanne Eastlick, MA, CMHC, LPC's National Provider Identifier is 1982009320, issued on Oct 28, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, OR. The record was last updated on Apr 2, 2026.