| Marla Samuel Dba Dragonfly Transformational Arts Llc | |
|
575 Faith Ave Ashland OR 97520-2508 | |
| (541) 500-8655 | |
| (800) 433-1396 |
| Full Name | Marla Samuel Dba Dragonfly Transformational Arts Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 575 Faith Ave, Ashland, Oregon |
| Authorized Official Name and Position | Marla Samuel (OWNER) |
| Authorized Official Contact | 5415008655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marla Samuel Dba Dragonfly Transformational Arts Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Marla Samuel Dba Dragonfly Transformational Arts Llc 575 Faith Ave Ashland OR 97520-2508 Ph: (541) 500-8655 |
| NPI Number | 1861032492 |
|---|---|
| Provider Enumeration Date | 01/11/2020 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861032492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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