Individual
EMILY K ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1003 E MAIN ST STE 130, MEDFORD, OR 97504-7140
(541) 326-4905
(541) 326-4905
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 326-4905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-06-17
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134150
—
OR
Enumeration date
07/06/2017
Last updated
07/06/2017
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