Individual
STEPHEN J BRUMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
482 ELM ST, PHOENIX, OR 97535
(541) 535-3414
Mailing address
482 ELM STREET, MEDFORD, OR 97535
(541) 535-3414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
03/20/2015
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