Individual
JESSICA WEATHERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
12/27/2013
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