Individual
JONATHAN JAY WARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 955-7499
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 955-7499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
10/11/2023
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