JENNIFER RUTH GREEN

MEDFORD, OR
NPI1679987507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-06-18
Last Update Date2014-12-29
Business Address
-- JENNIFER RUTH GREEN
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Mailing Address
-- JENNIFER RUTH GREEN
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200