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Organization
FAMILY BEHAVIORAL HEALTH NETWORK, LLC
Active
Organization
FAMILY BEHAVIORAL HEALTH NETWORK, LLC
Active
Parent organization
HENDERSON BEHAVIORAL HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON BEHAVIORAL HEALTH, LLC
Authorized official
DR. JENNIFER MAY HENDERSON DBH (PRESIDENT)
(541) 821-9559
Entity
Organization
Contact information
Practice address
221 W MAIN ST, MEDFORD, OR 97501-2728
(541) 821-9559
(541) 702-1236
Mailing address
PO BOX 8097, MEDFORD, OR 97501-0997
(541) 821-9559
(541) 702-1236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653416
—
OR
Enumeration date
01/02/2020
Last updated
11/27/2023
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