Individual
NICOLE PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/QMHP
Contact information
Practice address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(971) 301-4742
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(971) 301-4742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
05/01/2025
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