Individual provider · Type 1 NPI

Jillian Lisa Marie Mahon, CADC-R, CRM

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1679284582 Active

Practice location

534 E Main St
Medford, OR 97504-7118

Call (541) 200-1530 Map

Fax (541) 772-0284

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679284582

Jillian Lisa Marie Mahon, CADC-R, CRM's National Provider Identifier is 1679284582, issued on Dec 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Feb 13, 2023.