Individual
AUDREY FRANCES ROTGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, CADC III, QMHP
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 724-2410
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
(541) 724-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22-R-35
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
10/05/2023
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