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1508242736
JONATHAN CHRYSTAL
SALEM, OR
NPI
1508242736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
Dr. JONATHAN CHRYSTAL QMHP
3878 BEVERLY AVE NE H SUITE 11
SALEM, OR 97305-1394
Phone number: 503-576-4600
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Mailing Address
Dr. JONATHAN CHRYSTAL QMHP
1620 NE 24TH AVE #106
PORTLAND, OR 97232-1669
Phone number: 312-805-6179
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