Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003146820 |
---|---|
Provider Name | Ms. Norma Jean James |
First Address | Dexter, OR 97431-9788 |
Second Address | Eugene, OR 97402-3758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2009 |
Last Update Date | 29/12/2009 |