Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Dillon Bravo, CADC-R

Individual provider Counselor · NPI 1063399574

Jack Dillon Bravo, CADC-R is a Counselor in Medford, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

300 W Main St
Medford, OR 97501-2756
Phone: (541) 772-1777
Fax: (541) 734-2410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1063399574
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-R
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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