Individual
MS. JESSICA NICHOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Mailing address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2324
KS
Other
Enumeration date
12/04/2011
Last updated
02/20/2012
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