Fells, Coretta Jaquise

Fells, Coretta Jaquise is an individual health care provider with primary practice located at 36 Sw Nye St , Newport OR 97365-3821. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fells, Coretta Jaquise can be contacted via phone (541) 265-4179.

Contact Information

Primary practice address
36 Sw Nye St Newport OR 97365-3821
Phone: (541) 265-4179
Fax: (541) 265-4194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X Oregon

Profile Details

NPI number 1265838171
LBN Legal business name Fells, Coretta Jaquise
Credentials BA, MA, PCRI, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2014
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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