JEANIE ELIZABETH PETERSEN

WEST LINN, OR
NPI1710607528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L10678)
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
JEANIE ELIZABETH PETERSEN
2906 BLUEGRASS WAY
WEST LINN, OR 97068-2309
Phone number: 503-351-5681
Mailing Address
JEANIE ELIZABETH PETERSEN
2906 BLUEGRASS WAY
WEST LINN, OR 97068-2309
Phone number: 503-351-5681