Individual provider · Type 1 NPI
Jennifer Ruth Green
Community/Behavioral Health Agency · Medford, OR
Practice location
140 South Holly Street
Medford, OR 97501
Fax (541) 774-7964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1679987507
Jennifer Ruth Green's National Provider Identifier is 1679987507, issued on Jun 18, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Medford, OR. The record was last updated on Dec 29, 2014.