Individual
JULIE MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII,NCGCII,CGACII
Contact information
Practice address
113 S MAIN ST, MILTON FREEWATER, OR 97862-1342
(541) 861-3081
Mailing address
114 SE 1ST, PENDLETON, OR 97801-2204
(541) 429-9000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
835
OR
101Y00000X
Counselor
G 00-00-12
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97-04-52
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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