Individual provider · Type 1 NPI

Shannon Nichole Modjeski

Counselor · Medford, OR

NPI number 1265786396 Active

Practice location

816 W 10th St
Medford, OR 97501-3016

Call (541) 734-5437 Map

Fax (541) 734-2425

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC14009 (AZ)

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.

7 other providers at this address

Other counselor providers in Medford

See all in Medford →

About NPI 1265786396

Shannon Nichole Modjeski's National Provider Identifier is 1265786396, issued on Oct 26, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, OR. The record was last updated on Jun 1, 2016.