Shannon Nichole Modjeski - Medford, OR

Shannon Nichole Modjeski

Counselor in Medford, Oregon

NPI 1265786396

Shannon Nichole Modjeski is a Counselor based in Medford, OR. Shannon Nichole Modjeski practices in Medford, OR. The NPI Number for Shannon Nichole Modjeski is 1265786396 and holds a License No. LAC14009 (Oregon).

The current practice location address for Shannon Nichole Modjeski is 816 W 10Th St, Medford, OR and can be reached out via phone at 541-734-5437 and via fax at 541-734-2425.

Location: 816 W 10Th St, Medford, OR, 97501-3016

NPI Number

1265786396

Provider Name

Shannon Nichole Modjeski

Credential

Provider Entity Type

Individual

Gender

Female

Address

816 W 10Th St, Medford, OR, 97501-3016

Phone Number

541-734-5437

Fax Number

541-734-2425

Provider Enumeration Date

10/26/2012

Last Update Date

03/09/2024

Address

816 W 10Th St

City

Medford

State

Oregon

Zip

97501-3016

Phone Number

541-734-5437

Fax Number

541-734-2425

Address

816 W 10Th St

City

Medford

State

Oregon

Zip

97501-3016

Phone Number

541-734-5437

Fax Number

541-734-2425

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

LAC14009 (Arizona)

Definition

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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