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

Individual provider Mental Health Counselor · NPI 1164342382

Mia Day Qualkinbush, LPC is a Mental Health Counselor in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

140 S Holly St
Medford, OR 97501-3113
Phone: (541) 770-7726
Fax: (541) 774-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 26-QMHA-R-8507 (OR)

Record details

NPI number1164342382
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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