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Organization

ASHLAND CENTER FOR COUPLES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRYSTA L ROSE MA, LPC, LMFT (OWNER)
(541) 708-1403
Entity
Organization

Contact information

Practice address
479 RUSSELL ST STE 102, ASHLAND, OR 97520-7331
(541) 708-1403
Mailing address
479 RUSSELL ST STE 102, ASHLAND, OR 97520-7331
(541) 708-1403

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T0825
OR

Other

Enumeration date
06/11/2015
Last updated
06/11/2015
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