Provider Demographics
NPI:1326283565
Name:MONTE, JENNIFER THERESE (MSW INTERN)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:THERESE
Last Name:MONTE
Suffix:
Gender:F
Credentials:MSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 WESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5427
Mailing Address - Country:US
Mailing Address - Phone:541-686-3090
Mailing Address - Fax:
Practice Address - Street 1:2015 WESTWOOD LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5427
Practice Address - Country:US
Practice Address - Phone:541-686-3090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor