| Becky Gathercoal Counseling Inc. | |
|
3550 National Drive Medford OR 97504 | |
| (541) 772-8680 | |
| (541) 500-1818 |
| Full Name | Becky Gathercoal Counseling Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3550 National Drive, Medford, Oregon |
| Authorized Official Name and Position | Becky Janelle Gathercoal (PRESIDENT-OWNER) |
| Authorized Official Contact | 5417728680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becky Gathercoal Counseling Inc. 1512 Nordic Ct Medford OR 97504-5299 Ph: (541) 840-7775 | Becky Gathercoal Counseling Inc. 3550 National Drive Medford OR 97504 Ph: (541) 772-8680 |
| NPI Number | 1134623960 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134623960 | NPI | - | NPPES |
| 1063614162 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2674 (Oregon) | Primary |
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