JACQUELINE BAIN
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1568980829- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1750 NEBRASKA AVE BLDG B, GRANTS PASS, OR, 975275700
- Phone
- (541) 476-3302
Specialties & Taxonomies
Counselor
Primary
All Addresses
MAILING
715 SW RAMSEY AVE
GRANTS PASS, OR, 975275500