Individual
MRS. BECKY JANELLE GATHERCOAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3550 NATIONAL DRIVE, MEDFORD, OR 97504-7309
(541) 772-8680
(541) 500-1818
Mailing address
1512 NORDIC CT, MEDFORD, OR 97504-5299
(541) 840-7775
(541) 500-1818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2674
OR
Other
Enumeration date
06/01/2007
Last updated
03/09/2018
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