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Organization

LIVING WATER COUNSELING

Active
Other names
Trinity Presbyterian Church
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDALL G YOUNG MA (DIRECTOR)
(541) 840-1924
Entity
Organization

Contact information

Practice address
1332 MT PITT ST, MEDFORD, OR 97501-3214
(541) 840-1924
(541) 772-3655
Mailing address
1332 MT PITT ST, MEDFORD, OR 97501-3214
(541) 840-1924
(541) 772-3655

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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