Individual
SHELBY BRYNE MATT-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 500-0977
(541) 842-7640
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 500-0977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7737
OR
Other
Enumeration date
08/12/2019
Last updated
10/10/2023
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