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Kathleen Ann Tatom
Mental Health Counselor in Grants Pass, Oregon
NPI 1255749206

Kathleen Ann Tatom is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Kathleen Ann Tatom practices in Grants Pass, OR. The NPI Number for Kathleen Ann Tatom is 1255749206 and holds a License No. (Oregon).

The current practice location address for Kathleen Ann Tatom is 210 Tacoma St, Grants Pass, OR and can be reached out via phone at 541-476-3302.

Location: 210 Tacoma St, Grants Pass, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255749206
Provider Name
Kathleen Ann Tatom
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 Tacoma St, Grants Pass, OR, 97527-5500
Phone Number
541-476-3302
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Tacoma St
City
Grants Pass
State
Oregon
Zip
97526-9370
Phone Number
541-476-3302
Fax Number
person
Provider Business Mailing Address Details
Address
210 Tacoma St
City
Grants Pass
State
Oregon
Zip
97526-9370
Phone Number
541-476-3302
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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