Individual
CODI SANDRA GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 821-9559
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
11/15/2024
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