Individual
CARLEEN HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1592 MONROE ST, NORTH BEND, OR 97459-3657
(541) 756-2048
(541) 756-2058
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
02/14/2019
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