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Individual

CRYSTAL JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(541) 900-4285
Mailing address
1320 EDGEWATER ST NW STE 200, SALEM, OR 97304-4072
(503) 602-9350

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L11710
OR
101YP2500X
Professional Counselor
Primary
L11710
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UNKNOWN
OR
Enumeration date
01/24/2018
Last updated
07/23/2025
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