JERAMY DISENSO

SALEM, OR
NPI1588228720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
JERAMY DISENSO MA, LPC Intern
270 COTTAGE ST NE
SALEM, OR 97301
Phone number: 503-409-4869
Mailing Address
JERAMY DISENSO MA, LPC Intern
1458 PALACE DR NE
SALEM, OR 97301-3134
Phone number:
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