Individual provider · Type 1 NPI

Jean Nicholas

Counselor · Medford, OR

NPI number 1619340866 Active

Practice location

609 W 10th St
Medford, OR 97501-3106

Fax (541) 774-4888

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

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About NPI 1619340866

Jean Nicholas's National Provider Identifier is 1619340866, issued on Nov 10, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, OR. The record was last updated on Nov 10, 2015.