Individual
CHERYL LYNN KOLEVZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 GENESSEE ST, MEDFORD, OR 97504-7103
(541) 779-5866
(541) 779-1349
Mailing address
111 GENESSEE ST, MEDFORD, OR 97504-7103
(541) 779-5866
(541) 779-1349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L2170
OR
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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