Individual
MISS CRISTA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 AIRPORT RD STE 101, MEDFORD, OR 97504-4159
(541) 200-2900
(541) 200-2948
Mailing address
7325 RAPP LN, TALENT, OR 97540-6737
(732) 275-2979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
08/19/2022
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