Jeanette Black is a Mental Health in Medford, Oregon. Jeanette Black practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeanette Black is 1174668875. The last update date is 2019-10-09.
Jeanette Black's current location address is 3587 Heathrow Way, Medford, Oregon. You can contact this provider via phone number 5418588170. The mailing address for Jeanette Black is 3587 Heathrow Way, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Black |
|---|---|
| Address | 3587 Heathrow Way, Medford, Oregon |
| Phone Number | 5418588170 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174668875 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2019-10-09 |
Provider Mailing Address Detail
| Address | 3587 Heathrow Way |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975044004 |
| Phone Number | 5418588170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeanette Black by the Centers for Medicare & Medicaid Services?
The Jeanette Black has been issued the NPI (National Provider Identifier) 1174668875 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeanette Black's facilities are situated?
The facilities of Jeanette Black are physically located at the following address: 3587 Heathrow Way, Medford, OR, 975044004.
What is Jeanette Black's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeanette Black's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date was the 1174668875 assigned to Jeanette Black?
The Jeanette Black was issued its 1174668875 on 2007-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeanette Black's details last updated?
The information pertaining to the Jeanette Black, including its address, specialty, and other details, was most recently updated on 2019-10-09.