| |
408 Ament Rd Grants Pass OR 97526-3916 | |
(541) 956-1930 | |
(541) 956-1940 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 408 Ament Rd, Grants Pass, Oregon |
Authorized Official Name and Position | Timothy Craig Reed (OWNER) |
Authorized Official Contact | 5419561930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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408 Ament Rd Grants Pass OR 97526-3916 Ph: (541) 956-1930 | 408 Ament Rd Grants Pass OR 97526-3916 Ph: (541) 956-1930 |
NPI Number | 1801906805 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1801906805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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