Individual
MR. JEFFREY A CHRISTOPHERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC1, QMHA1
Contact information
Practice address
109 NW MANZANITA AVE, GRANTS PASS, OR 97526
(541) 479-8847
(541) 471-2679
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 471-2679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-04-28
OR
Other
Enumeration date
12/04/2015
Last updated
03/31/2020
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