person
Mr. Jacob James Henderson
Addiction (Substance Use Disorder) Counselor in Medford, Oregon
NPI 1528697596

Jacob James Henderson is an Addiction (Substance Use Disorder) Counselor based in Medford, OR and is specialized in Addiction (Substance Use Disorder). Jacob James Henderson practices in Medford, OR. The NPI Number for Jacob James Henderson is 1528697596 and holds a License No. (Oregon).

The current practice location address for Jacob James Henderson is 777 Murphy Rd, Medford, OR and can be reached out via phone at 541-772-2763 and via fax at 541-734-3164.

Location: 777 Murphy Rd, Medford, OR, 97504-8425
person
Provider Profile Details
NPI Number
1528697596
Provider Name
Jacob James Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
777 Murphy Rd, Medford, OR, 97504-8425
Phone Number
541-772-2763
Fax Number
541-734-3164
Provider Enumeration Date
04/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Murphy Rd
City
State
Zip
97504-8425
Phone Number
541-772-2763
Fax Number
541-734-3164
person
Provider Business Mailing Address Details
Address
777 Murphy Rd
City
State
Zip
97504-8425
Phone Number
541-772-2763
Fax Number
541-734-3164
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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