Individual
CORTNEE ANN IRENE MOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA, BS, CADC
Contact information
Practice address
750 BIDDLE RD, MEDFORD, OR 97504-6178
(541) 690-1990
Mailing address
406 5TH ST, PHOENIX, OR 97535-0310
(541) 613-8111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4129
OR
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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