Organization
KITCHEN TABLE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE DEFORREST LMFT (OWNER)
(541) 816-5462
Entity
Organization
Contact information
Practice address
180 CLEAR CREEK DR STE 104, ASHLAND, OR 97520-1993
(541) 500-8655
Mailing address
PO BOX 1787, MEDFORD, OR 97501-0261
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2021
Last updated
01/28/2025
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