| Care And Counseling Center Of Southern Oregon, Llc | |
|
1322 E Mcandrews Rd Ste 101 Medford OR 97504-6177 | |
| (541) 779-4090 | |
| (541) 770-8082 |
| Full Name | Care And Counseling Center Of Southern Oregon, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1322 E Mcandrews Rd, Medford, Oregon |
| Authorized Official Name and Position | Patrick Ormerod (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5417794090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care And Counseling Center Of Southern Oregon, Llc 1322 E Mcandrews Rd Ste 101 Medford OR 97504-6177 Ph: (541) 779-4090 | Care And Counseling Center Of Southern Oregon, Llc 1322 E Mcandrews Rd Ste 101 Medford OR 97504-6177 Ph: (541) 779-4090 |
| NPI Number | 1174078356 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 04/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174078356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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