Individual provider · Type 1 NPI

Janessa Kylene Headley, QMHA

Mental Health Counselor · Medford, OR

NPI number 1740970169 Active

Practice location

1911 Hazel Ave
Medford, OR 97501-1630

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1204639 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740970169

Janessa Kylene Headley, QMHA's National Provider Identifier is 1740970169, issued on May 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Dec 23, 2024.