Individual provider · Type 1 NPI

Fred Jesnen, CADC

Addiction (Substance Use Disorder) Counselor · Central Point, OR

NPI number 1316076078 Active

Practice location

600 S 2nd St
Central Point, OR 97502-2704

Fax (541) 789-4023

Mailing address

100 E Main St, Suite C
Medford, OR 97501-6041

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 1316076078

Fred Jesnen, CADC's National Provider Identifier is 1316076078, issued on Mar 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Central Point, OR. The record was last updated on Jul 8, 2007.