Provider Demographics
NPI:1629721014
Name:RAUCH, JAMEE LYNN (MASTERS OF SCIENCE)
Entity Type:Individual
Prefix:
First Name:JAMEE
Middle Name:LYNN
Last Name:RAUCH
Suffix:
Gender:F
Credentials:MASTERS OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 12TH ST. SE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:503-383-1248
Mailing Address - Fax:503-217-6526
Practice Address - Street 1:698 12TH ST. SE
Practice Address - Street 2:SUITE 210
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-383-1248
Practice Address - Fax:503-217-6526
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional