person
Ethan Deghelder
Mental Health Counselor in Springfield, Oregon
NPI 1124773148

Ethan Deghelder is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Ethan Deghelder practices in Springfield, OR. The NPI Number for Ethan Deghelder is 1124773148 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Ethan Deghelder is 3825 International Ct, Springfield, OR and can be reached out via phone at 541-858-8170 and via fax at 541-858-8167.

Location: 3825 International Ct, Springfield, OR, 97504-4004
person
Provider Profile Details
NPI Number
1124773148
Provider Name
Ethan Deghelder
Credential
Provider Entity Type
Individual
Gender
Male
Address
3825 International Ct, Springfield, OR, 97504-4004
Phone Number
541-858-8170
Fax Number
541-858-8167
Provider Enumeration Date
02/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3825 International Ct
City
State
Zip
97477-1086
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider Business Mailing Address Details
Address
3825 International Ct
City
State
Zip
97477-1086
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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