Individual provider · Type 1 NPI

Jack Dillon Bravo, CADC-R

Counselor · Medford, OR

NPI number 1063399574 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Fax (541) 734-2410

Mailing address

971 Peachwood Ct
Medford, OR 97501-8108

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1063399574

Jack Dillon Bravo, CADC-R's National Provider Identifier is 1063399574, issued on Aug 18, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, OR. The record was last updated on Aug 18, 2025.