Search › Oregon › 101Y00000X
Jeramy Disenso, MA, LPC INTERN
NPI 1588228720 · on the registry since 2019 · sole proprietor
Practice
- Address
- 270 Cottage St Ne
Salem, OR 97301 - Phone
- (503) 409-4869
- Clinicians at this address
- 2
Additional practice sites
- 270 Cottage St Ne, Salem, OR
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon