IndividualActive
Janessa Headley, QMHA
NPI 1740970169 · Mental Health Counselor · Medford, OR
Provider details
- NPI number
- 1740970169
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- No
- License
- 1204639 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1911 Hazel Ave
Medford, OR 97501-1630
Phone: (541) 476-2373
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Sw G St
Grants Pass, OR 97526-2544
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.