Individual
JESSICA S SARABALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424
(541) 767-4091
Mailing address
PO BOX 5, COTTAGE GROVE, OR 97424-0001
(541) 767-4091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4906
OR
Other
Enumeration date
06/24/2010
Last updated
06/07/2018
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