| Broderick R States, | |
|
3200 Juanipero Way, Medford, OR 97504 | |
| (541) 816-4131 | |
| (458) 226-2163 |
| Full Name | Broderick R States |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3200 Juanipero Way, Medford, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073178794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Broderick R States, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Broderick R States, 3200 Juanipero Way, Medford, OR 97504 Ph: (541) 816-4131 |
Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948 | |
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373 | |
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409 | |
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 | |
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127 | |
Mollie Faye Terpening, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Crater Lake Ave, Medford, OR 97504 Phone: 541-890-5180 Fax: 541-770-5070 | |
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948 |