JACY LEIGH BLACK

NEWBERG, OR
NPI1104531615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
JACY LEIGH BLACK
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2390
Mailing Address
JACY LEIGH BLACK
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: