JESSICA AMANDA PENNELL

MCMINNVILLE, OR
NPI1265943294
Former NameJESSICA AMANDA HAYNES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies251S00000X 
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
JESSICA AMANDA PENNELL
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 800-735-2900
Mailing Address
JESSICA AMANDA PENNELL
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number:
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