Individual provider · Type 1 NPI

Jennifer Cannon

Mental Health Counselor · Medford, OR

NPI number 1851283949 Active

Practice location

201 W 6th St
Medford, OR 97501-2708

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1851283949

Jennifer Cannon's National Provider Identifier is 1851283949, issued on Jul 15, 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 Aug 4, 2026.