Individual
BRENDA LOREAN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 E MAIN ST STE 1B, MEDFORD, OR 97504-7457
(458) 225-9990
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(458) 225-9993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
02/04/2025
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