Individual
SCARLET CELESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, QMHP
Contact information
Practice address
514 CRATER LAKE AVE, MEDFORD, OR 97504-6810
(541) 826-8282
(541) 538-5109
Mailing address
514 CRATER LAKE AVE, MEDFORD, OR 97504-6810
(541) 826-8282
(541) 538-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
R9724
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9724
OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
OR
Enumeration date
07/04/2025
Last updated
07/15/2026
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