JEREMY JOHN ARCHIBALD

SALEM, OR
NPI1013289578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-01-31
Last Update Date2022-06-09
Business Address
JEREMY JOHN ARCHIBALD MH INTERN
3867 WOLVERINE ST NE BLDG F
SALEM, OR 97305-4266
Phone number: 503-588-5352
Mailing Address
JEREMY JOHN ARCHIBALD MH INTERN
3867 WOLVERINE ST NE BLDG F
SALEM, OR 97305-4266
Phone number: 503-588-5352