Individual
SUMMERFORD MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HITCHING POST RD, GRANTS PASS, OR 97526-9710
(541) 237-5067
Mailing address
900 HITCHING POST RD, GRANTS PASS, OR 97526-9710
(541) 237-5067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-09-20
OR
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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