Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Lynn Weasel

Individual provider Mental Health Counselor · NPI 1912705955

Jackie Lynn Weasel is a Mental Health Counselor in Salem, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4385 Sunnyview Rd NE
Salem, OR 97305-1869
Phone: (503) 400-3340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1912705955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address1750 Nebraska Ave Bldg A, Grants Pass, OR 97527-5700

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