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Jodie Ferguson

Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).

NPI number1407366552
StatusActive
Last updated in NPPESOct 3, 2017

Details

NPI
1407366552
Entity type
Individual (NPI-1)
Name
Jodie Ferguson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2017
Last updated
Oct 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1215 Sw G St
Grants Pass, OR 97526-2544

Phone 541-476-2373

Mailing address

1215 Sw G St
Grants Pass, OR 97526-2544

Phone 541-476-2373

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