| One Of A Kind Therapy Llc | |
|
916 West 10th St #205 Medford OR 97501 | |
| (541) 601-1728 | |
| Not Available |
| Full Name | One Of A Kind Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 916 West 10th St #205, Medford, Oregon |
| Authorized Official Name and Position | Edna Cydne Collins (OWNER) |
| Authorized Official Contact | 5416011728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Of A Kind Therapy Llc 2637 Snowcrest Drive Medford OR 97501 Ph: (541) 601-1728 | One Of A Kind Therapy Llc 916 West 10th St #205 Medford OR 97501 Ph: (541) 601-1728 |
| NPI Number | 1669012928 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669012928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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