Individual
AMANDA MICHELLE JEPPESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 276-4628
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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