person
Ms. Gretchen Leanne Ericson, LPC
Professional Counselor in Medford, Oregon
NPI 1245348630

Gretchen Leanne Ericson is a Professional Counselor based in Medford, OR and is specialized in Professional. Gretchen Leanne Ericson practices in Medford, OR and has the professional credentials of LPC. The NPI Number for Gretchen Leanne Ericson is 1245348630 and holds a License No. C2534 (Oregon).

The current practice location address for Gretchen Leanne Ericson is 11 Tripp St, Medford, OR and can be reached out via phone at 541-324-1255 and via fax at 541-277-2038. You can also correspond with Gretchen Leanne Ericson through the mailing address at 1510 MIRACLE LANE, MEDFORD, OR - 97504 (mailing address contact number: 541-324-1255).

Location: 11 Tripp St, Medford, OR, 97504
person
Provider Profile Details
NPI Number
1245348630
Provider Name
Gretchen Leanne Ericson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
11 Tripp St, Medford, OR, 97504
Phone Number
541-324-1255
Fax Number
541-277-2038
Provider Enumeration Date
08/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11 Tripp St
City
State
Zip
97504-7343
Phone Number
541-324-1255
Fax Number
541-277-2038
person
Provider Business Mailing Address Details
Address
1510 Miracle Lane
City
State
Zip
97504
Phone Number
541-324-1255
Fax Number
541-227-2038
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2534 (Oregon)
Definition
Definition to come...
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