Individual
JESSICA MONIQUE AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
05/19/2020
Last updated
08/18/2021
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