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Katie Hargraves Long
Mental Health Counselor in Medford, Oregon
NPI 1457065559

Katie Hargraves Long is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Katie Hargraves Long practices in Medford, OR. The NPI Number for Katie Hargraves Long is 1457065559 and holds a License No. (Oregon).

The current practice location address for Katie Hargraves Long is 10 Crater Lake Ave Bldg A, Medford, OR and can be reached out via phone at 541-772-0127 and via fax at 541-772-0966.

Location: 10 Crater Lake Ave Bldg A, Medford, OR, 97527-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457065559
Provider Name
Katie Hargraves Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 Crater Lake Ave Bldg A, Medford, OR, 97527-5700
Phone Number
541-772-0127
Fax Number
541-772-0966
Provider Enumeration Date
01/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Crater Lake Ave Bldg A
City
Medford
State
Oregon
Zip
97504-7445
Phone Number
541-772-0127
Fax Number
541-772-0966
person
Provider Business Mailing Address Details
Address
10 Crater Lake Ave Bldg A
City
Medford
State
Oregon
Zip
97504-7445
Phone Number
541-772-0127
Fax Number
541-772-0966
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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