JEROME LECAIN B.S.
NPI 1023395050
Counselor - Mental Health in Grants Pass, OR
Active since November 04, 2011
About Jerome Lecain B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEROME LECAIN B.S. (NPI 1023395050) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since November 2011.
NPPES Registry Identity
NPI1023395050
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEROME LECAINCredential: B.S.
Location Address1920 SW KURTZ LANEGrants Pass, OR 97526-2803
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500
Phone(541) 295-3072
Fax(541) 295-3074
Sole ProprietorNo
Enumeration DateNovember 4, 2011
✔ NPI 1023395050 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1920 SW KURTZ LANE, Grants Pass, OR 97526
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023395050, enumerated as an "individual" on November 04, 2011.
The provider is located at 1920 SW KURTZ LANE GRANTS PASS, OR 97526 and the phone number is (541) 295-3072.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
