Individual
HELEN E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HILYARD ST, S-460, EUGENE, OR 97401-8122
(541) 685-1794
(541) 686-3942
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001669
OR
Other
Enumeration date
06/15/2006
Last updated
03/02/2010
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