Individual
ANNA-MARIA JEALOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC NCC
Contact information
Practice address
149 CLEAR CREEK DR, ASHLAND, OR 97520-1881
(541) 301-1449
Mailing address
PO BOX 1137, TALENT, OR 97540-1137
(541) 301-1449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7577
OR
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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