Individual
MS. CAELIN ELIZA JOHNSON-LUPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 4TH ST, ASHLAND, OR 97520-2043
(541) 951-1098
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
L6859
OR
Other
Enumeration date
09/12/2014
Last updated
02/16/2020
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