Jack Dillon Bravo, CADC-R

NPI #1063399574 in Medford, Oregon

Provider Information

NPI Number: 1063399574
Entity Type: Individual
Name: Jack Dillon Bravo, CADC-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CADC-R
Enumeration Date: Aug 18, 2025
Last Updated: Aug 18, 2025

Practice Location

Address: 300 W MAIN ST
City: Medford
State: Oregon
ZIP Code: 97501-2756
Phone: (541) 772-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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