Individual
KARI ANNETTE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 SW RAMSEY AVE, GRANTS PASS, OR 97527-5835
(541) 476-2373
Mailing address
1181 SW RAMSEY AVE, GRANTS PASS, OR 97527-5835
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700248606
MENTAL HEALTH CARE
OR
Enumeration date
03/22/2016
Last updated
12/20/2022
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