Individual
JILL L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1050 WILLAGILLESPIE RD STE 103, EUGENE, OR 97401-6718
(458) 209-4080
Mailing address
1050 WILLAGILLESPIE RD STE 103, EUGENE, OR 97401-6718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R5459
OR
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/21/2019
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