Individual
MISS JESSICA MARIE HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
3555 SALMON RIVER HWY, OTIS, OR 97368
(541) 614-4437
(888) 977-2106
Mailing address
3555 SALMON RIVER HWY, OTIS, OR 97368
(541) 614-4437
(888) 977-2106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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