Individual
JARED E JUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1813 W HARVARD AVENUE, SUITE 201, ROSEBURG, OR 97471-2754
(541) 440-6390
(541) 440-6392
Mailing address
PO BOX 1023, ROSEBURG, OR 97470-0232
(541) 440-6390
(541) 440-6392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3946
OR
1041C0700X
Clinical Social Worker
Primary
L3946
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500688305
—
OR
Enumeration date
04/20/2007
Last updated
10/05/2015
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