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Individual

SOMMER WOLCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CRC, LPC

Contact information

Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C4455
OR

Other

Enumeration date
07/03/2014
Last updated
05/04/2017
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