JACOB JOHN/JORDAN JAMES

MEDFORD, OR
NPI1225814759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
JACOB JOHN/JORDAN JAMES
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
JACOB JOHN/JORDAN JAMES
5530 AZALEA DR
GRANTS PASS, OR 97526-8227
Phone number:
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