Individual
HEIDI ANNETTE DIRKSE-GRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1998 SKYPARK DR STE 102, MEDFORD, OR 97504-5395
(541) 500-1022
(202) 788-6366
Mailing address
1998 SKYPARK DR STE 102, MEDFORD, OR 97504-5395
(541) 500-1022
(202) 788-6366
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3861
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497461669
NPI NUMERATOR
—
05
—
500711141
—
OR
Enumeration date
01/07/2016
Last updated
10/28/2025
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