James Bradshaw, MFT | |
1175 E Main St, Medford, OR 97504-7499 | |
(541) 772-0127 | |
Not Available |
Full Name | James Bradshaw |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1175 E Main St, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851783757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF82380 (California) | Secondary |
101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
Entity Name | Trinity Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427209378 PECOS PAC ID: 7113378159 Enrollment ID: O20240104000146 |
Mailing Address | Practice Location Address |
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James Bradshaw, MFT 1175 E Main St, Medford, OR 97504-7499 Ph: (541) 772-0127 | James Bradshaw, MFT 1175 E Main St, Medford, OR 97504-7499 Ph: (541) 772-0127 |
Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948 | |
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373 | |
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409 | |
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 | |
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127 | |
Mollie Faye Terpening, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Crater Lake Ave, Medford, OR 97504 Phone: 541-890-5180 Fax: 541-770-5070 | |
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948 |