Individual
JESSICA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS STREET, MCMINNVILLE, OR 97128
(503) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
21-QMHA-R-1754
OR
101YM0800X
Mental Health Counselor
21-QMHA-R-1754
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
10/27/2021
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