Individual
MRS. LINDSAY NICHOLE JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2478 13TH ST SE, SALEM, OR 97302-2546
(503) 561-5582
(503) 561-2707
Mailing address
15378 SE PARK TREE DR, CLACKAMAS, OR 97015-5428
(503) 319-0678
(503) 427-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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