Jonathan Robert Wilson
Jonathan Robert Wilson is a Mental Health Counselor in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2024.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
140 S Holly StMedford, OR 97501-3113
Phone: (541) 774-3333
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence R10085 (OR) |
|---|
Record details
| NPI number | 1740038421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 8, 2024 |
| Last updated in NPPES | March 21, 2025 |
| Certification date | March 21, 2025 |
| Mailing address | 400 Wagner Creek Rd, Talent, OR 97540-6727 |
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