Individual
DANIEL JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 E JACKSON ST, MEDFORD, OR 97504-7027
(541) 708-3721
Mailing address
469 ELM ST, PHOENIX, OR 97535-7731
(541) 951-3245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L11113
OR
1041C0700X
Clinical Social Worker
Primary
L11113
OR
Other
Enumeration date
03/20/2007
Last updated
02/25/2026
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