| Jd Health And Wellness Center | |
|
608 Lancaster Dr Se Salem OR 97317-5643 | |
| (503) 877-1995 | |
| Not Available |
| Full Name | Jd Health And Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 608 Lancaster Dr Se, Salem, Oregon |
| Authorized Official Name and Position | Seante Hawkins (ADMINISTRATOR) |
| Authorized Official Contact | 4802789935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jd Health And Wellness Center 608 Lancaster Dr Se Salem OR 97317-5643 Ph: (503) 877-1995 | Jd Health And Wellness Center 608 Lancaster Dr Se Salem OR 97317-5643 Ph: (503) 877-1995 |
| NPI Number | 1356888929 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356888929 | NPI | - | NPPES |
| 500651175 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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