JASON CLARK BATACAN-WILSON

BEND, OR
NPI1902548605
Former NameJASON CLARK WILSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
JASON CLARK BATACAN-WILSON
1569 SW NANCY WAY
BEND, OR 97702-3234
Phone number: 541-617-0377
Mailing Address
JASON CLARK BATACAN-WILSON
1569 SW NANCY WAY
BEND, OR 97702-3234
Phone number:
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