Individual
MELISSA FLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 DANE DR, MEDFORD, OR 97501-8189
(541) 601-6903
Mailing address
701 DANE DR, MEDFORD, OR 97501-8189
(541) 601-6903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4086
OR
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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