Organization
JACKSON COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD E ESRY M.S. (MENTAL HEALTH SPECIALIST III)
(541) 324-2636
Entity
Organization
Contact information
Practice address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 324-2636
Mailing address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 324-2636
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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