Individual provider · Type 1 NPI
Ivy Joan Medow, COTA/L, CRC
Counselor · Florence, OR
NPI number
1972881266
Active
Practice location
1657 36th St
Florence, OR 97439-8922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | C-6670 (OR) |
| Massage Therapist | 225700000X | 25705 (OR) |
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.
Other counselor providers in Florence
About NPI 1972881266
Ivy Joan Medow, COTA/L, CRC's National Provider Identifier is 1972881266, issued on Aug 3, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Florence, OR. The record was last updated on Oct 16, 2025.