Organization
WELLNESS PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED COX (OWNER)
54132496213249621
Entity
Organization
Contact information
Practice address
3228 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 324-9621
(541) 324-9621
Mailing address
3228 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 324-9621
(541) 324-9621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R174967
PTAN
OR
Enumeration date
02/12/2016
Last updated
02/12/2016
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