| Doctor Name: | JENNIFER DEESE |
| NPI Number: | 1043415730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C3678 |
| Business Practice Address: | 2210 N Eldorado Ave Klamath Falls, OR - 976016418 |
| Business Phone Number: | 5418831030 |
| Business Fax Number: | |
| Mailing Address: | 1292 Lynnewood Blvd, KLAMATH FALLS |
| State: | OR |
| Postal Code: | 976011937 |
| Phone Number: | 5413315517 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 04/21/2010 |
| NPI Reactivation Date: | 11/23/2010 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C3678 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |