Individual provider · Type 1 NPI

Jackie Green, M.S.

Mental Health Counselor · Medford, OR

NPI number 1144638255 Active

Practice location

140 South Holly Street
Medford, OR 97501

Call (541) 774-8200 Map

Fax (541) 774-7964

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144638255

Jackie Green, M.S.'s National Provider Identifier is 1144638255, issued on Aug 1, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jan 5, 2015.