Individual
JESSICA S HUNTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1109 SHAMROCK DR SE, SALEM, OR 97302-3449
(503) 383-9110
Mailing address
1109 SHAMROCK DR SE, SALEM, OR 97302-3449
(503) 383-9110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8627
OR
Other
Enumeration date
07/11/2016
Last updated
06/08/2026
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