Individual provider · Type 1 NPI

Jaclyn Estelle Koran, QMHP, CADC-R

Mental Health Counselor · Medford, OR

NPI number 1629966932 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (954) 868-8123 Map

Mailing address

70 Garfield St Apt 10
Ashland, OR 97520-2248

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629966932

Jaclyn Estelle Koran, QMHP, CADC-R's National Provider Identifier is 1629966932, issued on Jun 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jun 25, 2025.