Individual
JEANETTE M RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
905 MAIN ST STE 209, KLAMATH FALLS, OR 97601-6066
(541) 850-4747
(541) 882-4428
Mailing address
905 MAIN ST STE 209, KLAMATH FALLS, OR 97601-6066
(541) 850-4747
(541) 882-4428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2631
OR
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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