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Kim Evelyn Wolforth
Mental Health Counselor in Medford, Oregon
NPI 1295380624

Kim Evelyn Wolforth is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Kim Evelyn Wolforth practices in Medford, OR. The NPI Number for Kim Evelyn Wolforth is 1295380624 and holds a License No. (Oregon).

The current practice location address for Kim Evelyn Wolforth is 201 W Main St Ste 4B, Medford, OR and can be reached out via phone at 541-414-1720.

Location: 201 W Main St Ste 4B, Medford, OR, 97501-2734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295380624
Provider Name
Kim Evelyn Wolforth
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 W Main St Ste 4B, Medford, OR, 97501-2734
Phone Number
541-414-1720
Fax Number
Provider Enumeration Date
08/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 W Main St Ste 4B
City
Medford
State
Oregon
Zip
97501-2734
Phone Number
541-414-1720
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Main St Ste 4B
City
Medford
State
Oregon
Zip
97501-2734
Phone Number
541-414-1720
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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