Individual
JODI LE FEAGAIMAALII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-I, CADC-R, THW
Contact information
Practice address
1601 I ST, SPRINGFIELD, OR 97477-4163
(541) 735-9741
Mailing address
1601 I ST, SPRINGFIELD, OR 97477-4163
(541) 735-9741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/14/2020
Last updated
06/03/2024
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