Individual
JESSICA EMILY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 606-6446
(541) 228-3604
Mailing address
1 SERENITY LN, COBURG, OR 97408-9350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-3272
OR
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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