Individual provider · Type 1 NPI

Jeremy Molck

Counselor · Medford, OR

NPI number 1700500790 Active

Practice location

503 Airport Rd Ste 101
Medford, OR 97504-4159

Call (541) 200-2900 Map

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPROFESSIONALLICENSE

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 1700500790

Jeremy Molck's National Provider Identifier is 1700500790, issued on Oct 3, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medford, OR. The record was last updated on Oct 10, 2023.