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NPI Code Detail

MEDICARE: JESSICA DENIO LPC

MEDICARE:   JESSICA  DENIO  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
1101Y00000XCounselor

General Provider Information

NPI Number : 1659745990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DENIO LPC
Provider Business Mailing Address
First Line : 1650 SW 45TH PL
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1768
Country : US
Telephone Number : 541-757-8068
Fax Number :
Provider Business Practice Location Address
First Line : 1650 SW 45TH PL
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1768
Country : US
Telephone Number : 541-757-8068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2015
Last Update Date : 02/05/2026

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Directions to “ JESSICA DENIO LPC” Practice Location

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