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1871295816
SERENA LEIGH JACKSON
CORVALLIS, OR
NPI
1871295816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
221700000X Art Therapist
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
SERENA LEIGH JACKSON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
SERENA LEIGH JACKSON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 959-150-3234
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