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1265838171
CORETTA JAQUISE FELLS
NEWPORT, OR
NPI
1265838171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-05
Last Update Date
2020-03-11
Business Address
CORETTA JAQUISE FELLS BA, MA, PCRI, LPC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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Mailing Address
CORETTA JAQUISE FELLS BA, MA, PCRI, LPC
924 SW 12TH ST
NEWPORT, OR 97365-4812
Phone number: 541-265-8760
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