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Organization
JAN SCOTT GARLOCK PMHNP PC
Active
Organization
JAN SCOTT GARLOCK PMHNP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN SCOTT GARLOCK PMHNP (PRESIDENT)
(541) 772-5992
Entity
Organization
Contact information
Practice address
3140 JUANIPERO WAY, SUITE 102, MEDFORD, OR 97504-8640
(541) 772-5992
(541) 772-5996
Mailing address
3140 JUANIPERO WAY, SUITE 102, MEDFORD, OR 97504-8640
(541) 772-5992
(541) 772-5996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
086006628N6
OR
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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