Jesse Michael Nussbaum, BA

Counselor · Grants Pass, OR

Individual Active NPI

NPI number 1780950691

Practice location

1750 Nebraska Ave Bldg B
Grants Pass, OR 97527-5700
Phone
(541) 476-3302

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NPI record

NPI
1780950691
Entity type
Individual (Type 1)
Enumeration date
March 25, 2012
Last updated
March 24, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —
Mental Health Counselor 101YM0800X — —

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone
(541) 956-4943

Other practice locations (1)

  • 715 SW Ramsey Ave, Grants Pass, OR 97527-5500 · (541) 476-3302

About Jesse Nussbaum

Jesse Michael Nussbaum, BA is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700. The NPI number 1780950691 was assigned on March 25, 2012 and the record was last updated on March 24, 2018.

Frequently asked questions

What is the NPI number of Jesse Michael Nussbaum, BA?

The NPI number is 1780950691.

What is the phone number of Jesse Nussbaum?

The phone number listed for the practice location is (541) 476-3302.

Where is Jesse Nussbaum located?

1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700.

What is the taxonomy code for Jesse Nussbaum?

The primary taxonomy code is 101Y00000X – Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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