Organization
COMMUNITY COUNSELING CENTER OF ASHLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RAYNOLDS (CLINICAL DIRECTOR)
(541) 821-6623
Entity
Organization
Contact information
Practice address
600 SISKIYOU BLVD, ASHLAND, OR 97520-2140
(541) 708-5436
(866) 701-9131
Mailing address
600 SISKIYOU BLVD, ASHLAND, OR 97520-2140
(541) 708-5436
(866) 701-9131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0943
OR
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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