Individual provider · Type 1 NPI

Jacob John/jordan James

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1225814759 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Mailing address

5530 Azalea Dr
Grants Pass, OR 97526-8227

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225814759

Jacob John/jordan James's National Provider Identifier is 1225814759, issued on Aug 31, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Aug 31, 2023.