Individual
JESSICA ANNE COLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WILLAGILLESPIE RD # 9, EUGENE, OR 97401-2142
(541) 666-3652
Mailing address
489 MORSE AVE, CRESWELL, OR 97426-9906
(541) 870-8201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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