JESSE MICHAEL NUSSBAUM

GRANTS PASS, OR
NPI1780950691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2012-03-25
Last Update Date2018-03-24
Business Address
JESSE MICHAEL NUSSBAUM BA
1750 NEBRASKA AVE BLDG B
GRANTS PASS, OR 97527-5700
Phone number: 541-476-3302
Mailing Address
JESSE MICHAEL NUSSBAUM BA
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943