Individual
MISS JENNIFER LEE EATON-MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CADCI, LPC, ACS
Contact information
Practice address
550 NW 3RD AVE, CANBY, OR 97013
(503) 515-8439
Mailing address
525 NW 3RD AVE, CANBY, OR 97013-3503
(503) 515-8439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-08-16
OR
101YM0800X
Mental Health Counselor
C2678
OR
101YP2500X
Professional Counselor
Primary
C2678
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/28/2007
Last updated
06/07/2018
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