Family Behavioral Health Network, Llc | |
221 W Main St Medford OR 97501-2728 | |
(541) 821-9559 | |
(541) 702-1236 |
Full Name | Family Behavioral Health Network, Llc |
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Speciality | Counselor - Mental Health |
Location | 221 W Main St, Medford, Oregon |
Authorized Official Name and Position | Jennifer May Henderson (PRESIDENT) |
Authorized Official Contact | 5418219559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Behavioral Health Network, Llc Po Box 8097 Medford OR 97501-0997 Ph: (541) 821-9559 | Family Behavioral Health Network, Llc 221 W Main St Medford OR 97501-2728 Ph: (541) 821-9559 |
NPI Number | 1538708953 |
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Provider Enumeration Date | 01/02/2020 |
Last Update Date | 11/27/2023 |
Certification Date | 01/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538708953 | NPI | - | NPPES |
500653416 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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