JERAMY DISENSO MA LPC INTERN NPI 1588228720

NPI Information

Jeramy Disenso, MA, LPC INTERN is a counselor in Salem, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jeramy Disenso, MA, LPC INTERN NPI is 1588228720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

270 COTTAGE ST NE
SALEM, OR
ZIP 97301
Phone: (503) 409-4869

The enumeration date for this NPI number is 4/23/2019 and was last updated on 4/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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