Individual
CORETTA JAQUISE FELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA, PCRI, LPC
Contact information
Practice address
530 NW 3RD ST STE C, NEWPORT, OR 97365-3646
(541) 283-6111
Mailing address
530 NW 3RD ST STE C, NEWPORT, OR 97365-3646
(541) 283-6111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C9649
OR
Other
Enumeration date
11/05/2014
Last updated
03/05/2025
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