Individual
JESSICA ANN SCHLUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-R-29
OR
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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