Individual
DR. JESSICA BRIANNA ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(541) 393-5983
Mailing address
66 CLUB RD STE 120, EUGENE, OR 97401-2439
(541) 393-5983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
3134
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500768821
—
OR
Enumeration date
12/05/2014
Last updated
02/03/2020
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