Individual
MR. COREY JAI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
921 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-2238
(541) 686-6000
Mailing address
921 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-2238
(541) 686-6000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C4737
OR
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
05/25/2023
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