JAKE MOEN

ONTARIO, OR
NPI1619424488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-08
Last Update Date2016-09-08
Business Address
-- JAKE MOEN
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Mailing Address
-- JAKE MOEN
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167