Individual
CHARLOTTE MARIE JESKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
185 13TH ST NE, SALEM, OR 97301-4116
(503) 316-1000
(503) 364-1376
Mailing address
185 13TH ST NE, SALEM, OR 97301-4116
(503) 316-1000
(503) 364-1376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1883
OR
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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