Individual
MRS. JODI LOUISE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
7080 SW FIR LOOP STE 100, TIGARD, OR 97223-8149
(503) 620-1191
(503) 620-3940
Mailing address
350 RIVER LOOP 2, EUGENE, OR 97404-3512
(541) 556-8846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2749
OR
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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