| Women's Mental Health Of Southern Oregon | |
|
33 N Central Ave Ste 409 Medford OR 97501-5939 | |
| (541) 840-5926 | |
| Not Available |
| Full Name | Women's Mental Health Of Southern Oregon |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 33 N Central Ave Ste 409, Medford, Oregon |
| Authorized Official Name and Position | Jackie Green (OWNER) |
| Authorized Official Contact | 5418405926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Mental Health Of Southern Oregon 33 N Central Ave Ste 409 Medford OR 97501-5939 Ph: (541) 840-5926 | Women's Mental Health Of Southern Oregon 33 N Central Ave Ste 409 Medford OR 97501-5939 Ph: (541) 840-5926 |
| NPI Number | 1407377997 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407377997 | NPI | - | NPPES |
| 1144638255 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C4548 (Oregon) | Primary |
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