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Individual

HEATHER JO HUNSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
Mailing address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
156F00000X
Technician/Technologist
Primary
175T00000X
Peer Specialist
247000000X
Health Information Technician

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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