JACK MONTANA LANDER

SALEM, OR
NPI1518585140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
JACK MONTANA LANDER MA, LPC Intern
270 COTTAGE ST NE
SALEM, OR 97301-3842
Phone number: 503-647-6658
Mailing Address
JACK MONTANA LANDER MA, LPC Intern
270 COTTAGE ST NE
SALEM, OR 97301-3842
Phone number: 503-647-6658
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