Individual
CHRIS KITTY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
1920 SW KURTZ LN, GRANTS PASS, OR 97526-2803
(541) 295-3072
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(542) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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