Individual
JACQUELINE A ELLIOTT VERMEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, MENTAL HEALTH
Contact information
Practice address
360 CHURCH ST SE, SALEM, OR 97301
(503) 588-6453
Mailing address
360 CHURCH ST SE, SALEM, OR 97301
(503) 588-6453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
01/26/2015
Last updated
06/07/2019
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