Individual
ANGELA R EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
33 N CENTRAL AVE STE 400, MEDFORD, OR 97501-5940
(541) 821-0741
Mailing address
PO BOX 1654, PHOENIX, OR 97535-1654
(541) 821-0741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3513
OR
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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