Individual
CHRISTY IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 SISKIYOU BLVD, ASHLAND, OR 97520-2400
(541) 920-0817
Mailing address
3557 JUANIPERO WAY, MEDFORD, OR 97504-4319
(541) 920-0817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
08/23/2022
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