Individual
MS. ELLEN DENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 734-2410
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
11/20/2024
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