Individual
ALEXANDRIA RAE WOODROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. PSYCHOLOGY
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194191312
—
OR
Enumeration date
08/12/2015
Last updated
11/16/2018
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