JENNIFER GREEN
Community/Behavioral Health
Active
Individual
NPI: 1679987507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | - |
| Community/Behavioral Health | 251S00000X | Yes | - |
Frequently Asked Questions
NPI 1679987507 is the National Provider Identifier for JENNIFER GREEN, a Community/Behavioral Health provider located in Medford, OR. This NPI was enumerated on June 18, 2014.
JENNIFER GREEN practices at 140 SOUTH HOLLY STREET, Medford, OR 97501.
Quick Facts
- NPI
- 1679987507
- Type
- Individual
- Enumerated
- Jun 18, 2014
- Last Updated
- Dec 29, 2014
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