Individual
JESSICA MARILYN CAMPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, CADC-R
Contact information
Practice address
426 NW 4TH ST, CORVALLIS, OR 97330-6409
(541) 286-4439
(541) 250-5178
Mailing address
335 SE LILLY AVE APT A, CORVALLIS, OR 97333-1882
(541) 286-0147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1323
OR
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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