Individual provider · Type 1 NPI

Jason Tate

Counselor · Roseburg, OR

NPI number 1053248138 Active

Practice location

1479 NW Mulholland Dr
Roseburg, OR 97470-1914

Call (541) 673-0190 Map

Fax (541) 957-9410

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR9278 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053248138

Jason Tate's National Provider Identifier is 1053248138, issued on May 5, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Roseburg, OR. The record was last updated on May 5, 2026.