Provider Demographics
NPI:1972634673
Name:BISSON, JEANNE A (MA LMFT)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:A
Last Name:BISSON
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:BISSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JEANNE BISSON-OLMOS
Mailing Address - Street 1:625 SPRUCE ST #7666
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-3320
Mailing Address - Country:US
Mailing Address - Phone:541-412-0700
Mailing Address - Fax:
Practice Address - Street 1:625 SPRUCE ST #7666
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415
Practice Address - Country:US
Practice Address - Phone:541-412-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist