Individual
MS. GRETCHEN LEANNE ERICSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 TRIPP ST, MEDFORD, OR 97504-7343
(541) 324-1255
(541) 277-2038
Mailing address
1510 MIRACLE LANE, MEDFORD, OR 97504
(541) 324-1255
(541) 227-2038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2534
OR
Other
Enumeration date
08/27/2006
Last updated
11/19/2021
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