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MARY JACQUE B.S.
NPI 1003941741
Counselor - Mental Health in Eugene, OR

Active since February 22, 2007
1790 W 11TH AVE, EUGENE, OR 97402(541) 686-1262 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jacque B.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JACQUE B.S. (NPI 1003941741) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1003941741
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY JACQUECredential: B.S.
Location Address1790 W 11TH AVEEugene, OR 97402-3758
Mailing Address1790 W 11th AveEugene, OR 97402-3758 · (541) 686-1262
Phone(541) 686-1262
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003941741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1790 W 11TH AVE, Eugene, OR 97402
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NORMA JEAN JAMES MSW
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
JOSIE MILLER QMHA
Counselor (Mental Health)
1790 W 11TH AVE, SUITE A
EUGENE, OR 97402
Lane County (541) 868-0661
ELIZABETH ANNE BURNETT
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MICHELLE KAYLEE SANDERS
Counselor (Mental Health)
1790 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 868-2688
MRS. MARISSA JADE LEUALLEN
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MS. PAULA FARQUHAR-STOUT MA, MED CADC III
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
PENNY ROXANN LIEBL
Counselor (Mental Health)
1790 W 11TH AVE, SHELTER CARE SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MS. LESLI DENISE OLDHAM
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jacque's NPI number?

The NPI number for Mary Jacque is 1003941741. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Mary Jacque located?

Mary Jacque practices at 1790 W 11th Ave, Eugene, OR 97402. The listed phone number is (541) 686-1262.

What is Mary Jacque's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Jacque was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.