Individual
MS. CAROLYN ANN HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(541) 281-9026
Mailing address
1832 EARLE ST, KLAMATH FALLS, OR 97601-2222
(541) 281-3738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1879
OR
Other
Enumeration date
08/21/2009
Last updated
05/01/2025
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