Individual
ALEXANDRIA MARIE FENIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 N ROSE ST, PHOENIX, OR 97535-5704
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
07/26/2023
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