MISS MARY KUCKENDALL BS PSYCHOLOGY
NPI 1982861886
Counselor - Mental Health in Jasper, OR
Active since May 19, 2008
About Miss Mary Kuckendall Bs Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MARY KUCKENDALL BS PSYCHOLOGY (NPI 1982861886) is an individual mental health provider in Jasper, Oregon and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1982861886
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MARY KUCKENDALLCredential: BS PSYCHOLOGY
Location Address37875 JASPER LOWELL RDJasper, OR 97438-9751
Mailing Address37875 Jasper Lowell RdJasper, OR 97438-9751 · (541) 747-1235 · Fax (541) 747-4722
Phone(541) 747-1235
Fax(541) 747-4722
Sole ProprietorNo
Enumeration DateMay 19, 2008
✔ NPI 1982861886 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
37875 JASPER LOWELL RD, Jasper, OR 97438
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982861886, enumerated as an "individual" on May 19, 2008.
The provider is located at 37875 JASPER LOWELL RD JASPER, OR 97438 and the phone number is (541) 747-1235.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.