person
Azusa Mokuta
Mental Health Counselor in Medford, Oregon
NPI 1316625767

Azusa Mokuta is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Azusa Mokuta practices in Medford, OR. The NPI Number for Azusa Mokuta is 1316625767 and holds a License No. (Oregon).

The current practice location address for Azusa Mokuta is 1911 Hazel Ave, Medford, OR and can be reached out via phone at 541-476-2373.

Location: 1911 Hazel Ave, Medford, OR, 97526-2544
person
Provider Profile Details
NPI Number
1316625767
Provider Name
Azusa Mokuta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1911 Hazel Ave, Medford, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1911 Hazel Ave
City
State
Zip
97501-1630
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1911 Hazel Ave
City
State
Zip
97501-1630
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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