| Jentry Holthus Counseling Llc | |
|
328 S Central Ave Ste 206 Medford OR 97501-7274 | |
| (541) 500-8655 | |
| (800) 433-1396 |
| Full Name | Jentry Holthus Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 328 S Central Ave Ste 206, Medford, Oregon |
| Authorized Official Name and Position | Jentry Holthus (OWNER) |
| Authorized Official Contact | 5419418752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jentry Holthus Counseling Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Jentry Holthus Counseling Llc 328 S Central Ave Ste 206 Medford OR 97501-7274 Ph: (541) 500-8655 |
| NPI Number | 1598488298 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598488298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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