Individual
MRS. JENNIFER D. WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1011 COMMERCIAL ST NE STE 101210, SALEM, OR 97301-1049
(503) 983-9900
(503) 963-7711
Mailing address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-22-1501
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
04/20/2022
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