Organization
CORE WISDOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE TEAGAN ANGELIQUE SOUZA (OWNER)
(831) 227-8812
Entity
Organization
Contact information
Practice address
15 CRATER LAKE AVE, MEDFORD, OR 97504-7444
(541) 227-6687
Mailing address
PO BOX 1787, MEDFORD, OR 97501-0261
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
10/01/2025
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