Organization
CARE AND COUNSELING CENTER OF SOUTHERN OREGON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ORMEROD (ADMINISTRATIVE DIRECTOR)
(541) 779-4090
Entity
Organization
Contact information
Practice address
1322 E MCANDREWS RD, STE 101, MEDFORD, OR 97504-6177
(541) 779-4090
(541) 770-8082
Mailing address
1322 E MCANDREWS RD, STE 101, MEDFORD, OR 97504-6177
(541) 779-4090
(541) 770-8082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/17/2016
Last updated
04/25/2017
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