Individual
AGATHA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20025 MOSSY MEADOWS AVE, OREGON CITY, OR 97045-7136
(503) 496-0207
(503) 496-0349
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 875-7795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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