Mary Jacque is a Mental Health in Eugene, Oregon. Mary Jacque practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Jacque is 1003941741. The last update date is 2007-07-08.
Mary Jacque's current location address is 1790 W 11th Ave, Eugene, Oregon. You can contact this provider via phone number 5416861262. The mailing address for Mary Jacque is 1790 W 11th Ave, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jacque |
|---|---|
| Address | 1790 W 11th Ave, Eugene, Oregon |
| Phone Number | 5416861262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | B.S. |
NPI Number Detail
| NPI Number | 1003941741 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1790 W 11th Ave |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974023758 |
| Phone Number | 5416861262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Mary Jacque's 1003941741?
The Mary Jacque's NPI (National Provider Identifier) Number is 1003941741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Jacque's physical address?
The Mary Jacque is physically located at 1790 W 11Th Ave, in the city of Eugene, OR, with the postal code 974023758.
What is the Mary Jacque's specialty and taxonomy code?
The Mary Jacque's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did the Mary Jacque receive its 1003941741?
The Mary Jacque was issued its 1003941741 on 2007-02-22, which is the date when the organization was assigned this unique identifier.
When was the information related to Mary Jacque most recently updated or refreshed?
The details pertaining to the Mary Jacque, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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