OrganizationActive
Jose Luis Garcia Ma Ms Lpc Mental Health Counseling
NPI 1700400306 · Mental Health Counselor · Phoenix, OR
Provider details
- NPI number
- 1700400306
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melynda Owens, Office Manager(541) 500-8655
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4414 S Pacific Hwy Ste 5
Phoenix, OR 97535-6600
Phone: (541) 292-0907
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4752
Medford, OR 97501-0197
Registry dates
- Enumerated
- 2020-05-31
- Last updated
- 2020-05-31
- Certified
- 2020-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.