Individual
MIMI MARLENE FRENCH-TEMPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3550 NATIONAL DRIVE, MEDFORD, OR 97504
(458) 225-4255
Mailing address
3550 NATIONAL DRIVE, MEDFORD, OR 97504-9508
(458) 225-4255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C6098
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6098
LPC LICENSE
OR
Enumeration date
05/18/2021
Last updated
09/22/2021
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