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Organization

SOUTHERN OREGON MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOEL CHANEY LCSW (MENTAL HEALTH THERAPIST)
(541) 531-6312
Entity
Organization

Contact information

Practice address
328 S CENTRAL AVE STE 211, MEDFORD, OR 97501-7274
(541) 531-6312
(888) 281-8465
Mailing address
PO BOX 4322, MEDFORD, OR 97501-0165
(541) 531-6312
(888) 281-8465

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7604
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942580816
OR
Enumeration date
07/12/2018
Last updated
07/12/2018
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