Individual
JUNE E LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
16 S PEACH ST, MEDFORD, OR 97501-2945
(541) 326-4905
(541) 608-2888
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 326-4905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-R-24
OR
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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