Individual
JANE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA; LPC; NCC
Contact information
Practice address
980 SW 6TH ST STE 18, GRANTS PASS, OR 97526-2910
(541) 499-5208
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1509
OR
Other
Enumeration date
04/08/2009
Last updated
05/26/2020
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