Individual
JESSICA R MELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 CENTENNIAL CT, HALSEY, OR 97348-9633
(541) 206-9767
Mailing address
780 CENTENNIAL CT, HALSEY, OR 97348-9633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
12/07/2012
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