Organization
HAWTHORNE HEALING CENTER LLC
Active
Other names
Hawthorne Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P CUMMINGS LPC (SOLE MEMBER)
(541) 350-0571
Entity
Organization
Contact information
Practice address
21 HAWTHORNE ST, MEDFORD, OR 97504-7113
(541) 350-0571
Mailing address
21 HAWTHORNE ST, MEDFORD, OR 97504-7113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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