TIMOTHY ELLENBERGER

JASPER, OR
NPI1700077047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
Mr. TIMOTHY ELLENBERGER QMHA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Mailing Address
Mr. TIMOTHY ELLENBERGER QMHA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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