JACQUALYN RAE ANDREWS LPC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1801407259- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 210 S 5TH ST, COTTAGE GROVE, OR, 974242105
- Phone
- (541) 255-1411
- Fax
- (541) 255-1412
Specialties & Taxonomies
Counselor
License: OR #C5956
Counselor, Mental Health
Primary License: OR #C5956