JACLYN RENEE BRAZIEL

DALLAS, OR
NPI1194950576
Former NameJACLYN RENEE BRANSKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4153)
Enumeration Date2009-05-28
Last Update Date2020-02-21
Business Address
Ms. JACLYN RENEE BRAZIEL QMHP
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Mailing Address
Ms. JACLYN RENEE BRAZIEL QMHP
2205 S CHURCH ST
DALLAS, OR 97338-9742
Phone number: 503-930-7349
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