DANIELLE R JOLLEY
NPI 1487143285
Counselor - Mental Health in Medford, OR
Active since May 07, 2018
About Danielle R Jolley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE R JOLLEY (NPI 1487143285) is an individual mental health provider in Medford, Oregon and active in the NPI registry since May 2018.
NPPES Registry Identity
NPI1487143285
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDANIELLE R JOLLEY
Location Address850 SWING LN UNIT 1Medford, OR 97501-1790
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(541) 858-8170
Fax(541) 858-8167
Sole ProprietorNo
Enumeration DateMay 7, 2018
✔ NPI 1487143285 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
850 SWING LN UNIT 1, Medford, OR 97501
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487143285, enumerated as an "individual" on May 07, 2018.
The provider is located at 850 SWING LN UNIT 1 MEDFORD, OR 97501 and the phone number is (541) 858-8170.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.