Jessica Gail Arnson, QMHA-R
Individual provider Active NPI Mental Health Counselor · La Grande, OR
NPI 1104673441 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1104673441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 24-QMHA-R-5302 (OR)
- Practice address
- 2301 Cove Ave
La Grande, OR 97850-3906 - Phone
- (541) 962-8800
- Fax
- (541) 963-5272
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-QMHA-R-5302 | OR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 24-QMHA-R-5302 | OR | Yes |
Addresses
Primary practice location
2301 Cove Ave
La Grande, OR 97850-3906
Mailing address
2301 Cove Ave
La Grande, OR 97850-3906
Phone (541) 962-8800
Other providers in La Grande, OR
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All providers in La Grande, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.