JACOB MAINS

SALEM, OR
NPI1619283041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
-- JACOB MAINS QMHP
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
Mailing Address
-- JACOB MAINS QMHP
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: