Individual
BEVERLY SHOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/MA MAC
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12-06-102U3
OR
101YM0800X
Mental Health Counselor
3921
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4158
OR
Other
Enumeration date
06/06/2007
Last updated
01/02/2026
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