Organization
ONE OF A KIND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA CYDNE COLLINS LCSW (OWNER)
(541) 601-1728
Entity
Organization
Contact information
Practice address
916 WEST 10TH ST #205, MEDFORD, OR 97501
(541) 601-1728
Mailing address
2637 SNOWCREST DRIVE, MEDFORD, OR 97501
(541) 601-1728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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