Individual
JARED FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
486 12TH ST, ASTORIA, OR 97103-4122
(503) 325-5722
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/01/2020
Last updated
02/28/2024
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