Individual provider · Type 1 NPI

Tova Dejack, MSW, LCSW

Mental Health Counselor · Medford, OR

NPI number 1578736757 Active

Practice location

19 Myrtle St
Medford, OR 97504-7337

Call (541) 324-4617 Map

Mailing address

1201 Kamerin Springs Dr
Talent, OR 97540-7840

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578736757

Tova Dejack, MSW, LCSW's National Provider Identifier is 1578736757, issued on Apr 8, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Sep 19, 2012.