JUDI WILLINGHAM - NPI 1982061578 - Counselor in Medford, OR

Q: What is Judi Willingham's NPI number?

The NPI number for Judi Willingham is 1982061578. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Q: What is Judi Willingham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Judi Willingham was last updated on January 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Judi Willingham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDI WILLINGHAM (NPI 1982061578) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (96-10-174) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1982061578

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJUDI WILLINGHAM

Location Address3397 DELTA WATERS RDMedford, OR 97504-5852

Mailing Address3397 Delta Waters RdMedford, OR 97504-5852 · (541) 772-4648 · Fax (541) 858-7593

Phone(541) 772-4648

Fax(541) 858-7593

Sole ProprietorNo

Enumeration DateJanuary 27, 2016

✔ NPI 1982061578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 96-10-174

3397 DELTA WATERS RD, Medford, OR 97504

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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.

CARRYL VILLANUEVA

Case Manager/Care Coordinator