Jackson Phadah
Jackson Phadah is a Mental Health Counselor in Medford, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2559 Merriman RdMedford, OR 97501
Phone: (541) 237-0053
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1144110172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2025 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | June 24, 2025 |
| Mailing address | 1750 Nebraska Ave Bldg A, Grants Pass, OR 97527-5700 |
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