Individual
DALLAS RAEANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S OAKDALE AVE APT A, MEDFORD, OR 97501-3561
(541) 613-5750
Mailing address
822 S OAKDALE AVE APT A, MEDFORD, OR 97501-3561
(541) 613-5750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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