DANIEL JANSEN

PHOENIX, OR
NPI1982729539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L11113)
Enumeration Date2007-03-20
Last Update Date2022-09-09
Business Address
DANIEL JANSEN
215 N ROSE ST
PHOENIX, OR 97535
Phone number: 541-535-1065
Mailing Address
DANIEL JANSEN
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-535-6239