MEDICARE: COURTNEY CASH JELLAR LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619585304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY CASH JELLAR LPC

Provider Business Mailing Address
First Line	:	228 W E ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-3810
Country	:	US
Telephone Number	:	541-554-0682
Fax Number	:

Provider Business Practice Location Address
First Line	:	3575 DONALD ST STE 650
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-4784
Country	:	US
Telephone Number	:	541-554-0682
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2020
Last Update Date	:	05/04/2026

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Directions to “ COURTNEY CASH JELLAR LPC” Practice Location

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