JESSE MICHAEL NUSSBAUM BA NPI 1780950691

NPI Information

Jesse Michael Nussbaum, BA is a counselor in Grants Pass, 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. Jesse Michael Nussbaum, BA NPI is 1780950691. 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:

1750 NEBRASKA AVE BLDG B
GRANTS PASS, OR
ZIP 97527-700
Phone: (541) 476-3302

The enumeration date for this NPI number is 3/25/2012 and was last updated on 3/24/2018.

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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