Individual
JENNIFER LARISA MCDERMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2311 NW VAN BUREN AVE APT 5, CORVALLIS, OR 97330-5393
(541) 230-1297
(541) 368-3902
Mailing address
2311 NW VAN BUREN AVE APT 5, CORVALLIS, OR 97330-5393
(541) 230-1297
(541) 368-3902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
06/11/2019
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