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Organization
JESSIE BROWN THERAPY INC
Active
Organization
JESSIE BROWN THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE BROWN (PRESIDENT)
(415) 757-9745
Entity
Organization
Contact information
Practice address
1280 PEARL ST, EUGENE, OR 97401-3540
(415) 757-9745
Mailing address
1280 PEARL ST, EUGENE, OR 97401-3540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105959
LMFT LICENSE
CA
01
—
T1436
LMFT LICENSE
OR
Enumeration date
11/14/2020
Last updated
11/14/2020
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