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Jennifer Ruth Green
Community/Behavioral Health Agency in Medford, Oregon
NPI 1679987507

Jennifer Ruth Green is a Community/Behavioral Health Agency based in Medford, OR. Jennifer Ruth Green practices in Medford, OR. The NPI Number for Jennifer Ruth Green is 1679987507 and holds a License No. (Oregon).

The current practice location address for Jennifer Ruth Green is 140 South Holly Street, Medford, OR and can be reached out via phone at 541-774-8200 and via fax at 541-774-7964.

Location: 140 South Holly Street, Medford, OR, 97501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679987507
Provider Name
Jennifer Ruth Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
140 South Holly Street, Medford, OR, 97501
Phone Number
541-774-8200
Fax Number
541-774-7964
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
person
Provider Business Mailing Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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