Individual
JENNA MARIE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 248-7810
Mailing address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 990-9143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22-CRM-1559
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5306
OR
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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