Individual
MR. JESSE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
161 HIGH ST SE STE 210, SALEM, OR 97301-3693
(503) 428-1035
Mailing address
161 HIGH ST SE STE 210, SALEM, OR 97301-3693
(503) 428-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2273
OR
101YP2500X
Professional Counselor
Primary
C2273
OR
Other
Enumeration date
05/09/2007
Last updated
02/03/2022
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