# JESSIE BROWN THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689276545
- **Authorized official:** JESSIE BROWN (PRESIDENT)
- **Authorized official phone:** (415) 757-9745

## Contact information

- **Practice address:** 1280 PEARL ST, EUGENE, OR 97401-3540
- **Practice address phone:** (415) 757-9745
- **Mailing address:** 1280 PEARL ST, EUGENE, OR 97401-3540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2020
- **Last updated:** 11/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 105959 | LMFT LICENSE | CA |
| 01 | — | T1436 | LMFT LICENSE | OR |