Organization
BECKY GATHERCOAL COUNSELING INC.
Active
Organization
BECKY GATHERCOAL COUNSELING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY JANELLE GATHERCOAL LCSW (PRESIDENT-OWNER)
(541) 772-8680
Entity
Organization
Contact information
Practice address
3550 NATIONAL DRIVE, MEDFORD, OR 97504
(541) 772-8680
(541) 500-1818
Mailing address
1512 NORDIC CT, MEDFORD, OR 97504-5299
(541) 840-7775
(541) 500-1818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2674
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063614162
NPI
OR
Enumeration date
03/19/2018
Last updated
03/19/2018
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