Individual
DR. CAROL ANN JAUQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
891 NW GRANT AVE, CORVALLIS, OR 97330-4539
(541) 757-8373
Mailing address
891 NW GRANT AVE, CORVALLIS, OR 97330-4539
(541) 757-8373
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1161
OR
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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