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Individual

CHRIS N MEJIA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282
Mailing address
1025 E MAIN ST, MEDFORD, OR 97504-7689
(541) 779-1282

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator
219117
CA

Other

Enumeration date
11/14/2016
Last updated
10/23/2024
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