Most Relevant Information
Provider Data
| NPI Number: | 1003274895 |
| Provider Name: | JESSICA KRIEGER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2016 |
| Last Updated: | 09/17/2018 |
Provider Practice Location
100 MULLINS DR STE C2
LEBANON
OR
973552868
Practice Location Phone/Fax
| Phone: | 5414516388 |
| Fax: |
Provider Mailing Location
100 MULLINS DR STE C2
LEBANON
OR
973552868
Provider Mailing Phone/Fax
| Phone: | 5414516388 |
| Fax: |