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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH CHRISTOPHERSON

MEDICARE: JENNIFER ELIZABETH CHRISTOPHERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1023976818
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH CHRISTOPHERSON
Provider Business Mailing Address
First Line : 3587 HEATHROW WAY
Second Line :
City : MEDFORD
State : OR
Zip : 97504-4004
Country : US
Telephone Number : 541-858-8170
Fax Number : 541-858-8167
Provider Business Practice Location Address
First Line : 1675 ASHLAND ST
Second Line :
City : ASHLAND
State : OR
Zip : 97520-2472
Country : US
Telephone Number : 541-708-6488
Fax Number : 541-708-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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