| Wholeheartandmind Llc | |
|
107 E Main St Ste 10 Medford OR 97501-6022 | |
| (541) 324-2151 | |
| Not Available |
| Full Name | Wholeheartandmind Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 107 E Main St Ste 10, Medford, Oregon |
| Authorized Official Name and Position | Janelle M Chapman (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5413242151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeheartandmind Llc 107 E Main St Ste 10 Medford OR 97501-6022 Ph: (541) 324-2151 | Wholeheartandmind Llc 107 E Main St Ste 10 Medford OR 97501-6022 Ph: (541) 324-2151 |
| NPI Number | 1730705781 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730705781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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