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Mr. David J Mortellaro
Mental Health Counselor in Medford, Oregon
NPI 1306129804

David J Mortellaro is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. David J Mortellaro practices in Medford, OR. The NPI Number for David J Mortellaro is 1306129804 and holds a License No. (Oregon).

The current practice location address for David J Mortellaro is 140 South Holly Street, Medford, OR and can be reached out via phone at 541-774-8200 and via fax at 541-774-7964.

Location: 140 South Holly Street, Medford, OR, 97501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306129804
Provider Name
David J Mortellaro
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 South Holly Street, Medford, OR, 97501
Phone Number
541-774-8200
Fax Number
541-774-7964
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
person
Provider Business Mailing Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
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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