Individual
JESSICA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
4439 HAMRICK RD, CENTRAL POINT, OR 97502-2816
(541) 261-1991
Mailing address
3126 STATE ST STE 100, MEDFORD, OR 97504-8665
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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