# WELLSPRING COUNSELING CENTER OF SOUTHERN OREGON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780894840
- **Authorized official:** MR. BERNIE LEGNER ED.D., LMFT (OWNER)
- **Authorized official phone:** (541) 857-0873

## Contact information

- **Practice address:** 18 PORTLAND AVE., MEDFORD, OR 97504-7309
- **Practice address phone:** (541) 857-0873
- **Practice address fax:** (541) 245-1530
- **Mailing address:** 18 PORTLAND AVE., MEDFORD, OR 97504-7309
- **Mailing address phone:** (541) 857-0873
- **Mailing address fax:** (541) 245-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 02/03/2015