IndividualActive
Jackie Mcdougle
NPI 1073093167 · Mental Health Counselor · Lakeview, OR
Provider details
- NPI number
- 1073093167
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
215 N G St
Lakeview, OR 97630-1417
Phone: (541) 947-6021
Approximate (ZIP-level) locationGet directions
Mailing address
333 N L St
Lakeview, OR 97630-1232
Registry dates
- Enumerated
- 2018-08-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.