| Jessica Kelley, | |
|
200 Beatty St, Medford, OR 97501-5811 | |
| (541) 476-2373 | |
| Not Available |
| Full Name | Jessica Kelley |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 200 Beatty St, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063875185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T2393 (Oregon) | Primary |
| Entity Name | Options For Southern Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Kelley, 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Jessica Kelley, 200 Beatty St, Medford, OR 97501-5811 Ph: (541) 476-2373 |
Ms. Carolyn Ann Hennessey, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 201 W Main St Ste 4e, Medford, OR 97501 Phone: 541-281-9026 | |
Toni Richmond, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1016 Court St, Medford, OR 97501 Phone: 541-776-7601 Fax: 541-776-3007 | |
Dana Noelle Brooks, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 Myrtle St, Medford, OR 97504 Phone: 541-773-3863 Fax: 541-776-2892 | |
Miss Marika P Mooyman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1005 E Main St Bldg B, Medford, OR 97504 Phone: 541-774-8201 Fax: 541-774-7979 | |
Jomayra Bermudez Otero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 W Main St Ste 4e, Medford, OR 97501 Phone: 541-281-9026 | |
Timur Crone, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1314 Center Dr Ste 408, Medford, OR 97501 Phone: 510-328-3702 |