Organization
CONSCIOUS LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRE MURPHY LPC (LICENSED PROFESSIONAL COUNSELOR)
(541) 414-4337
Entity
Organization
Contact information
Practice address
107 E MAIN ST STE 7, MEDFORD, OR 97501-6022
(541) 414-4337
Mailing address
2253 RIDGE WAY, MEDFORD, OR 97504-6388
(541) 613-7015
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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