Individual
KATHERINE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
1016 COURT ST, MEDFORD, OR 97501-5728
(541) 772-3524
(541) 499-0085
Mailing address
1750 DELTA WATERS RD, #102-266, MEDFORD, OR 97504-9181
(541) 772-3524
(541) 499-0085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
2183
OR
Other
Enumeration date
08/08/2008
Last updated
02/23/2012
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