Individual
JOHN A AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHP
Contact information
Practice address
320 CENTRAL AVE, SUITE 406, COOS BAY, OR 97420-2272
(541) 269-0321
(541) 267-0785
Mailing address
320 CENTRAL AVE, SUITE 406, COOS BAY, OR 97420-2272
(541) 269-0321
(541) 267-0785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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