Southern Oregon CBT LLC
Southern Oregon CBT LLC is a Clinical Psychologist in Jacksonville, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
235 W Main StJacksonville, OR 97530-9278
Phone: (541) 204-4933
Fax: (800) 433-1396
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|
Record details
| NPI number | 1306456058 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kacy Mullen — Owner · (541) 500-8655 |
| NPI enumerated | August 7, 2020 |
| Last updated in NPPES | October 29, 2024 |
| Certification date | October 29, 2024 |
| Mailing address | Po Box 4752, Medford, OR 97501-0197 |