Individual
JANNA WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N PLATT AVE, EAGLE POINT, OR 97524-8618
(541) 773-3863
(541) 500-8171
Mailing address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 842-7705
(541) 842-7640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6276
OR
Other
Enumeration date
10/17/2017
Last updated
04/19/2022
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