Individual
JAMILAH MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1592 MONROE ST, NORTH BEND, OR 97459-3657
(541) 756-2048
(541) 756-2058
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 761-1065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2727
OR
Other
Enumeration date
02/07/2012
Last updated
02/25/2016
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