MISS JESSICA MARIE HOMAN CIT
NPI 1811459464
Counselor - Addiction (Substance Use Disorder) in Otis, OR
Active since April 03, 2019
About Miss Jessica Marie Homan Cit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JESSICA MARIE HOMAN CIT (NPI 1811459464) is an individual addiction (substance use disorder) provider in Otis, Oregon and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1811459464
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS JESSICA MARIE HOMANCredential: CIT
Location Address3555 SALMON RIVER HWYOtis, OR 97368
Mailing Address3555 Salmon River HwyOtis, OR 97368 · (541) 614-4437 · Fax (888) 977-2106
Phone(541) 614-4437
Fax(888) 977-2106
Sole ProprietorNo
Enumeration DateApril 3, 2019
✔ NPI 1811459464 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3555 SALMON RIVER HWY, Otis, OR 97368
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811459464, enumerated as an "individual" on April 03, 2019.
The provider is located at 3555 SALMON RIVER HWY OTIS, OR 97368 and the phone number is (541) 614-4437.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
