Individual provider · Type 1 NPI

Jennifer Miatke, MA, LPC, MDIV, CADCI

Professional Counselor · Medford, OR

NPI number 1275926305 Active

Practice location

18 Portland Ave
Medford, OR 97504-7309

Call (541) 613-2697 Map

Fax (541) 245-1530

Mailing address

15097 Highway 66
Ashland, OR 97520-9400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC3620 (OR)
Professional Counselor Primary 101YP2500XC3620 (OR)

Professional Counselor: Definition to come...

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About NPI 1275926305

Jennifer Miatke, MA, LPC, MDIV, CADCI's National Provider Identifier is 1275926305, issued on Mar 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Mar 29, 2024.