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Jillian Lisa Marie Mahon, CADC-R,CRM
Addiction (Substance Use Disorder) Counselor in Medford, Oregon
NPI 1679284582

Jillian Lisa Marie Mahon is an Addiction (Substance Use Disorder) Counselor based in Medford, OR and is specialized in Addiction (Substance Use Disorder). Jillian Lisa Marie Mahon practices in Medford, OR and has the professional credentials of CADC-R,CRM. The NPI Number for Jillian Lisa Marie Mahon is 1679284582 and holds a License No. (Oregon).

The current practice location address for Jillian Lisa Marie Mahon is 534 E Main St, Medford, OR and can be reached out via phone at 541-200-1530 and via fax at 541-772-0284.

Location: 534 E Main St, Medford, OR, 97504-7118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679284582
Provider Name
Jillian Lisa Marie Mahon
Credential
CADC-R,CRM
Provider Entity Type
Individual
Gender
Female
Address
534 E Main St, Medford, OR, 97504-7118
Phone Number
541-200-1530
Fax Number
541-772-0284
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000104724 01 OR TRADITIONAL HEALTH WORKER, PEER SUPPORT SPECIALIST
institution
Provider Business Practice Location Address Details
Address
534 E Main St
City
Medford
State
Oregon
Zip
97504-7118
Phone Number
541-200-1530
Fax Number
541-772-0284
person
Provider Business Mailing Address Details
Address
534 E Main St
City
Medford
State
Oregon
Zip
97504-7118
Phone Number
541-200-1530
Fax Number
541-772-0284
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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