JESSIKA MARY BERG (VORDERSTRASSE)

KEIZER, OR
NPI1215424361
Former NameJESSIKA MARY BERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-15
Last Update Date2018-05-04
Business Address
JESSIKA MARY BERG (VORDERSTRASSE)
4305 RIVER RD N
KEIZER, OR 97303-5506
Phone number: 971-304-7245
Mailing Address
JESSIKA MARY BERG (VORDERSTRASSE)
350 S AIRPORT RD
LEBANON, OR 97355-2553
Phone number: 208-631-7358