Individual
JEANNIE MOOD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1804 LINDA LN, LA GRANDE, OR 97850-3325
(541) 236-4743
(541) 605-0253
Mailing address
1804 LINDA LN, LA GRANDE, OR 97850-3325
(541) 236-4743
(541) 605-0253
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
45366
CA
106H00000X
Marriage & Family Therapist
Primary
T1483
OR
Other
Enumeration date
01/29/2007
Last updated
06/28/2021
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