Individual
MR. JASON MANON FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
810 E JACKSON ST, MEDFORD, OR 97504-6773
(541) 690-8452
Mailing address
810 E JACKSON ST, MEDFORD, OR 97504-6773
(541) 690-8452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4762
OR
Other
Enumeration date
01/26/2007
Last updated
08/17/2020
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