| Wellspring Counseling Center Of Southern Oregon, Llc | |
|
18 Portland Ave. Medford OR 97504-7309 | |
| (541) 857-0873 | |
| (541) 245-1530 |
| Full Name | Wellspring Counseling Center Of Southern Oregon, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 18 Portland Ave., Medford, Oregon |
| Authorized Official Name and Position | Bernie Legner (OWNER) |
| Authorized Official Contact | 5418570873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Center Of Southern Oregon, Llc 18 Portland Ave. Medford OR 97504-7309 Ph: (541) 857-0873 | Wellspring Counseling Center Of Southern Oregon, Llc 18 Portland Ave. Medford OR 97504-7309 Ph: (541) 857-0873 |
| NPI Number | 1780894840 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780894840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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