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Jessie Brown Therapy Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
JESSIE BROWN THERAPY INC16892765452020-11-14
Entity TypeOrganization
Provider OrganizationJESSIE BROWN THERAPY INC
Practice Office Address1280 PEARL ST
EUGENE, OR US
Practice Office Telephone4157579745
Mailing Address1280 PEARL ST
EUGENE, OR 974013540 US
Authorized OfficialJESSIE BROWN, PRESIDENT
4157579745
HPT Codes
CodeLicense NoState
106H00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
T1436 OTHER OR LMFT LICENSE
105959 OTHER CA LMFT LICENSE
Governmental Registrations [CAGE/NCAGE/DUNS]

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