Individual
JENNIFER HATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2303 SPRING ST, MEDFORD, OR 97504-6378
(541) 625-9057
Mailing address
2303 SPRING ST, MEDFORD, OR 97504-6378
(541) 625-9057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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