Individual
JANNISE LOUISE MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 SW RAMSEY AVE, GRANTS PASS, OR 97527-5529
(541) 244-4142
Mailing address
1725 SUMMIT LOOP, GRANTS PASS, OR 97527-8975
(928) 706-6233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/25/2023
Last updated
04/30/2024
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