Individual
NONIE INDIAN-SUMMER COUVRETTE JARVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ORCHARD VIEW TER, MEDFORD, OR 97504-9368
(541) 601-2217
Mailing address
300 ORCHARD VIEW TER, MEDFORD, OR 97504-9368
(541) 601-2217
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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