Individual
LARA LISA ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1911 UNITED WAY, MEDFORD, OR 97504-4970
(541) 773-2999
(541) 773-2999
Mailing address
1911 UNITED WAY, MEDFORD, OR 97504-4970
(541) 773-2999
(541) 773-2999
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1557
OR
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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