Individual
MS. SUSAN DESANTIS MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1005 EAST MAIN STREET, JACKSON COUNTY MENTAL HEALTH, MEDFORD, OR 97504
(541) 774-7890
(541) 774-7981
Mailing address
1005 EAST MAIN ST., JACKSON COUNTY MENTAL HEALTH, MEDFORD, OR 97504
(541) 774-7890
(541) 774-7981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1923
OR
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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