Organization
PARADIGM MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FICKES PMHNP (OWNER)
(541) 324-7171
Entity
Organization
Contact information
Practice address
724 S CENTRAL AVE STE 101D, MEDFORD, OR 97501-7808
(541) 324-7171
Mailing address
724 S CENTRAL AVE STE 101D, MEDFORD, OR 97501-7808
(541) 249-7724
(541) 325-4055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
05/05/2021
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